TITLE

Radiated Groin Wounds: Pitfalls in Reconstruction

AUTHOR(S)
Payne, Wyatt G.; Walusimbi, Mbaga S.; Blue, Martin L.; Mosiello, Gerald; Wright, Terry E.; Robson, Martin C.
PUB. DATE
November 2003
SOURCE
American Surgeon;Nov2003, Vol. 69 Issue 11, p994
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Reconstruction procedures of soft tissue defects created after tumor excision in the ilioinguinal region which have receded prior radiation therapy are associated with serious morbidities. Despite the availability of muscle or myocutaneous flaps, wound infection, wound breakdown, and necrosis occur with relative frequency. Changes in tissues secondary to radiation therapy are chronic and permanent and adversely affect wound healing. Tumors in this region should be considered for primary excision and reconstruction, followed by radiation, if necessary.
ACCESSION #
11855939

 

Related Articles

  • Clinicopathological assessment of T1 soft tissue sarcomas. Tsukushi, Satoshi; Nishida, Yoshihiro; Wasa, Junji; Urakawa, Hiroshi; Ishiguro, Naoki // Archives of Orthopaedic & Trauma Surgery;May2011, Vol. 131 Issue 5, p695 

    Introduction: Many studies have identified factors prognostic for soft tissue sarcomas of local recurrence, and distant metastasis. Several studies demonstrated that some subsets of patients could be safely treated by surgery alone, with acceptable rates of local recurrence. The aim of this...

  • Paraspinal Transposition Flap for Reconstruction of Sacral Soft Tissue Defects: A Series of 53 Cases from a Single Institute. Gupta, Sandipan; Chattopadhyay, Debarati; Agarwal, Akhilesh Kumar; Guha, Goutam; Bhattacharya, Nirjhar; Chumbale, Pawan K.; Gupta, Souradip; Murmu, Marang Buru // Asian Spine Journal;2014, Vol. 8 Issue 3, p309 

    Study Design: Case series. Purpose: To describe paraspinal transposition flap for coverage of sacral soft tissue defects. Overview of Literature: Soft tissue defects in the sacral region pose a major challenge to the reconstructive surgeon. Goals of sacral wound reconstruction are to provide a...

  • Versatility of the Anterolateral Thigh Free Flap: The Four Seasons Flap. Candia, Michele Di; Lie, Kwok; Kumiponjera, Devor; Simcock, Jeremy; Cormack, George C.; Malata, Charles M. // ePlasty: Open Access Journal of Plastic Surgery;2012, Vol. 12, p194 

    Background: The anterolateral free flap has become increasingly popular at our institution year on year. We decided to review our experience with this flap and study the reasons for this trend. Methods: A retrospective review of all anterolateral thigh free flaps performed at Addenbrooke's...

  • Are There Risk Factors for Complications of Perforator-based Propeller Flaps for Lower-extremity Reconstruction? Innocenti, Marco; Menichini, Giulio; Baldrighi, Carla; Delcroix, Luca; Vignini, Livia; Tos, Pierluigi // Clinical Orthopaedics & Related Research;Jul2014, Vol. 472 Issue 7, p2276 

    Background: Conventional pedicled flaps for soft tissue reconstruction of lower extremities have shortcomings, including donor-site morbidity, restricted arc of rotation, and poor cosmetic results. Propeller flaps offer several potential advantages, including no need for microvascular...

  • Radio-recurrent spermatic cord leiomyosarcoma requiring radical surgery and reconstruction using a myocutaneous (tensor fascia lata) flap: a case report and review of the literature. Enoch, S.; Wharton, S. M.; Doherty, A. P.; Murray, D. S. // European Journal of Plastic Surgery;May2004, Vol. 27 Issue 2, p94 

    Leiomyosarcomas (LMS) of the spermatic cord are exceedingly rare tumours. Radical inguinal orchiectomy and high ligation of the cord is the standard primary procedure. The extent of soft tissue excision required, including margins, and the precise role of adjuvant radiotherapy (RT), however,...

  • Long Term Outcome of Preoperative Isolated Limb Infusion and External Irradiation in Management of Locally Advanced Extremity Soft Tissue Sarcoma. Hegazy, Mohamed A.; Elnahas, Waleed; Farouk, Omar; Mosbah, Mahmoud; Hafez, Mohamed; Kotb, Sherif; Sakr, Hanem; Abo Zeid, Waleed; Hendawy, Sayed; Amer, Talal; Hegazi, Rifaat // Open Surgical Oncology Journal;2011, Vol. 3, p14 

    Background: We report our long term results of isolated limb infusion (ILI) in cases of locally advanced soft-tissue sarcoma (ASTS) of the extremities. Methods: Forty cases of ASTS received ILI with doxorubicin. Preoperative external beam radiotherapy started within 3-7 days after ILI was...

  • GHOST Protocol: Greatest Healing Opportunity for Soft Tissue, a Treatment Paradigm for Complex Sarcoma Reconstruction. KOBRAEI, EDWARD M.; EBERLIN, KYLE R.; RICCI, JOSEPH A.; REISH, RICHARD G.; WINOGRAD, JONATHAN M.; CETRULO JR., CURTIS L. // American Surgeon;Jun2015, Vol. 81 Issue 6, p557 

    Modern sarcoma treatment has created new challenges for plastic surgeons. This study was designed to review the recent experience and practice patterns following complex sarcoma resection at a large sarcoma center. All cases from October 2013 to October 2014 involving rare nonepithelial tumors,...

  • IL-33 is regulated by TNF-α in normal and psoriatic skin. Balato, Anna; Caprio, Roberta; Canta, Luigi; Mattii, Martina; Lembo, Serena; Raimondo, Annunziata; Schiattarella, Maria; Balato, Nicola; Ayala, Fabio // Archives of Dermatological Research;Apr2014, Vol. 306 Issue 3, p299 

    Interleukin-33 (IL-33) is the most recently discovered IL-1 family member. Considered an endogenous 'alarmin' released by necrotic cells in response to tissue injury or damage, IL-33 is constitutively expressed in tissues exposed to the environment, where endothelial and epithelial cells...

  • Serum Interleukin Profile in Patients with Graves Orbithopathy. Zsuzsánna, Réti; Kun, I. Z.; Corina Cristina, Radu Pop // Acta Medica Marisiensis;2013, Vol. 59 Issue 1, p31 

    Background: Graves' orbitopathy (GO) is considered an autoimmune condition in close relationship with Graves' disease (GD) affecting the thyroid. Several similarities exist between the two conditions, sharing the common antigen and the characteristics of the inflammation mediated by a number of...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics