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Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Lausanne Univ Hosp CHUV, Dept Plast Reconstruct & Hand Surg, Rue Bugnon 46, CH-1011 Lausanne, Switzerland.
Turku Univ Hosp, Dept Plast & Gen Surg, Turku, Finland.
Basel Univ Hosp, Dept Plast Reconstruct Aesthet & Hand Surg, Basel, Switzerland.
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2019 (English)In: In Vivo, ISSN 0258-851X, E-ISSN 1791-7549, Vol. 33, no 1, p. 1-9Article, review/survey (Refereed) Published
Abstract [en]

Background/Aim: This study aimed to evaluate the literature regarding surgical etiology demanding inguinal reconstructive surgery, associated reconstructive techniques and outcomes.

Materials and Methods: A systematic literature search was performed according to the PRISMA statement between 1996-2016.

Results: A total of 64 articles were included, comprising 816 patients. Two main subgroups of patients were identified: Oncological resections (n = 255, 31%), and vascular surgery (n = 538, 66%). Oncological resection inguinal defects were treated with pedicled myocutaneous flaps (n = 166, 65%), fasciocutaneous flaps (77, 31%), muscle flaps (7, 3%) and direct closure (3, 1%). Vascular surgery complications were treated with muscle flaps (n = 513, 95%). Complications for the respective subgroup (oncological resections, vascular surgery) were: infection (24%, 14%), seroma (34%, 7.5%), flap dehiscence/delayed healing (20.6%, 40.8%,). The total reintervention rate was 20%.

Conclusion: Reconstruction of inguinal defects should be addressed on a case-by-case basis. Myocutaneous flaps were favoured after oncological resections, while muscle flaps were preferred after vascular surgery.

Place, publisher, year, edition, pages
2019. Vol. 33, no 1, p. 1-9
Keywords [en]
Oncological surgery, vascular surgery, inguinal defect, reconstructive surgery, complications, review
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-373910DOI: 10.21873/invivo.11431ISI: 000454333900001PubMedID: 30587595OAI: oai:DiVA.org:uu-373910DiVA, id: diva2:1279878
Note

Karl Sörelius and Luigi Schiraldi contributed equally to this study.

Available from: 2019-01-17 Created: 2019-01-17 Last updated: 2019-01-17Bibliographically approved

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