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Inguinal Reconstruction Using Pedicled Rectus Abdominis Flap

A Useful Option for the Application of Radiotherapy

Sánchez-García, Alberto, MD; García Moreno, Miguel Ángel, MD; Salmerón-González, Enrique, MD; García-Vilariño, Elena, MD; Valverde-Navarro, Alfonso A., PhD

doi: 10.1097/PSN.0000000000000256
Departments: Reconstruction Department
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Given their high rate of complications, radical surgical procedures of anorectal and gynecological tumors require a reliable and individualized reconstruction. The latter is influenced by the frequent indication of adjuvant chemo/radiotherapy that they present. We describe the case of a patient with medical history of vulvar carcinoma that required radical surgery and bilateral inguinal lymphadenectomy. Because of the stage of the tumor, the application of postoperative radiotherapy was clinically indicated; however, after surgery, the patient developed bilateral inguinal ulcers that made postoperative radiotherapy application impossible. Using a radical surgical approach in combination with postoperative radiotherapy increases survival in patients with these types of tumors. Therefore, delaying its use because of wound complications or inadequate reconstruction cannot be justified. The pedicled abdominal rectus flap is an excellent option for this purpose in patients with moderate- to large-sized defects.

Alberto Sánchez-García, MD, is at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Miguel Ángel García Moreno, MD, is at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Enrique Salmerón-González, MD, is at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Elena García-Vilariño, MD, is at Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Alfonso A. Valverde-Navarro, PhD, is at Department of Human Anatomy and Embriology, University of Valencia, Valencia, Spain.

Address correspondence to Alberto Sánchez García, MD, Antonio Sacramento, Number 11, Stairs 2, Door 11, Valencia Postal Code 46013, Comunidad Valenciana, Spain (e-mail: asgarcia1992@hotmail.com).

The authors report no conflicts of interest.

Copyright © 2019 by American Society of Plastic Surgical Nurses