Pedicled internal oblique rotational muscle flap for reconstruction of lateral pelvic defects: report of 4 cases.

Abstract:

:Various local and distant flaps have been used to repair pelvic defects, including sartorius, rectus abdominis, rectus femoris, tensor fascia lata, vastus lateralis, gracilis, and omentum, each with benefits and disadvantages. The pedicled internal oblique rotational muscle flap has been described to cover pelvic wounds but may be underutilized. We present our experience with 5 pedicled internal oblique flaps in 4 patients (3 male, 1 female). The mean patient age was 32 years (23-47 years), and the mean follow-up was 8 months. All patients required coverage of the lateral pelvis after failure of conservative measures. There were no major complications. One patient experienced decreased sensation in the lateral femoral cutaneous nerve distribution, which resolved fully within 3 months. The internal oblique muscle provides local soft-tissue coverage with a predictable blood supply, and its proximity to the pelvis offers an alternative for reconstruction of lateral pelvic defects, with minimal associated morbidity.

journal_name

Ann Plast Surg

authors

Rodriguez ED,Holton LH 3rd,Blau S,Christy MR,Silverman RP

doi

10.1097/01.sap.0000184457.53396.7f

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

654-9

issue

6

eissn

0148-7043

issn

1536-3708

pii

00000637-200512000-00022

journal_volume

55

pub_type

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