Indian Journal of Plastic Surgery
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 CASE REPORT
Year : 2010  |  Volume : 43  |  Issue : 1  |  Page : 103--105

Pedicled anterolateral thigh flap for contralateral groin composite defect


1 Department of Plastic, Reconstructive Surgery and Burns, St. John's Medical College Hospital, Sarjapur Road, John Nagar, Bangalore, India
2 Department of Surgical Oncology, St. John's Medical College Hospital, Sarjapur Road, John Nagar, Bangalore, India

Correspondence Address:
S P Bharath
Department of Plastic, Reconstructive Surgery and Burns, St. John's Medical College Hospital, Sarjapur Road, John Nagar, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.63960

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Pedicled anterolateral thigh flap has been well described for ipsilateral groin defects. Its versatility depends on the intact femoral vessels. When the external iliac and the femoral vessels are absent, especially secondary to wide surgical tumour ablations in the groin region, ipsilateral ALT flap is not an option. Free flaps also are difficult because of lack of recipient vessels. We report a case of composite groin defect following wide resection of recurrent liposarcoma along with encased vessels which was covered with a pedicled anterolateral thigh flap from the opposite thigh. The technique of lengthening the vascular pedicle and medializing the pedicle, to effectively increase its reach to the contralateral anterior superior iliac spine without vascular compromise, is described.






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