Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?
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To compare the morbidity of primary skin closure with elective Tensor Fascia Lata (TFL) flap cover in groin dissections.
Materials and methods
This was a retrospective study between January 2007 and December 2009. All patients undergoing groin dissections without skin involvement were included.
Of the twenty-five patients, who underwent groin dissections, 14 had primary skin closure (28 groin dissections)—group I. Eleven had TFL flap cover as a means of primary reconstruction (20 groin dissections)—group II. In group I, there were 16 (57%) inguinal dissections and 12 (43%) ilioinguinal block dissections, whereas 82% in group II underwent ilioinguinal dissections (p = 0.09). Wound infection requiring treatment with a culture specific antibiotic was required in 4 (14%) in group I (n = 28) and only 1 (5%) in group II (n = 20) (p = 0.38). In group I, 7 (25%) had major flap necrosis and minor necrosis was seen in another 7 (25%). Only three (15%) in group II developed minor flap necrosis (p = 0.01). Following an ilioinguinal dissection, flap necrosis occurred in 75% of groins that underwent primary closure and in 17% of those which were reconstructed with TFL (p = 0.001). Seroma formation was seen in 5 (18%) in group I and 3 (15%) in group II (p = 1.0). Lymphoedema occurred in equal numbers in both groups. The duration of hospital stay was 20 ± 14 days in the primary closure group and 16 ± 3 days in the TFL group.
The TFL flap can reduce postoperative morbidity and decrease hospital stay. Prophylactic TFL flap reconstruction following ilioinguinal dissections is advisable.
KeywordsTensor fascia lata Groin dissection Ilioinguinal
Conflict of interest
There is no conflict of interest.
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