Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects

Shimpei Miyamoto, Shuji Kayano, Kenichi Kamizono, Yutaka Fukunaga, Junichi Nakao, Fumihiko Nakatani, Eisuke Kobayashi, Minoru Sakuraba

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Soft-tissue defects after wide resection of groin sarcomas have been reconstructed with well-characterized flaps, such as rectus abdominis, gracilis, and anterolateral thigh flaps. To our knowledge, the use of superficial femoral artery perforator (S-FAP) flaps for this purpose has not been reported. We report on three female patients in whom groin defects after sarcoma resection were reconstructed with pedicled S-FAP flaps. The dimensions of the skin defects ranged from 13.5 × 11 to 16 × 14.5 cm. Sizable perforators from the superficial femoral arteries were identified preoperatively around the apex of the femoral triangle with computed tomographic angiography or color Doppler ultrasonography. The lengths of the flaps ranged from 17 to 19 cm. The main perforator penetrated the sartorius muscle in two patients and emerged between the sartorius and the adductor longus muscles in the other patient. The postoperative course was uneventful, and results were satisfactory in all patients. The main advantages of the S-FAP flap over more commonly used flaps are that it is easier to harvest and is associated with less donor-site morbidity. We believe that the S-FAP flap may be a versatile option for the coverage of groin defects.

Original languageEnglish
Pages (from-to)470-474
Number of pages5
JournalMicrosurgery
Volume34
Issue number6
DOIs
Publication statusPublished - Sep 2014

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Perforator Flap
Groin
Femoral Artery
Thigh
Sarcoma
Doppler Color Ultrasonography
Muscles
Rectus Abdominis
Angiography
Tissue Donors
Morbidity
Skin

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Miyamoto, S., Kayano, S., Kamizono, K., Fukunaga, Y., Nakao, J., Nakatani, F., ... Sakuraba, M. (2014). Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects. Microsurgery, 34(6), 470-474. https://doi.org/10.1002/micr.22226

Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects. / Miyamoto, Shimpei; Kayano, Shuji; Kamizono, Kenichi; Fukunaga, Yutaka; Nakao, Junichi; Nakatani, Fumihiko; Kobayashi, Eisuke; Sakuraba, Minoru.

In: Microsurgery, Vol. 34, No. 6, 09.2014, p. 470-474.

Research output: Contribution to journalArticle

Miyamoto, S, Kayano, S, Kamizono, K, Fukunaga, Y, Nakao, J, Nakatani, F, Kobayashi, E & Sakuraba, M 2014, 'Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects', Microsurgery, vol. 34, no. 6, pp. 470-474. https://doi.org/10.1002/micr.22226
Miyamoto S, Kayano S, Kamizono K, Fukunaga Y, Nakao J, Nakatani F et al. Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects. Microsurgery. 2014 Sep;34(6):470-474. https://doi.org/10.1002/micr.22226
Miyamoto, Shimpei ; Kayano, Shuji ; Kamizono, Kenichi ; Fukunaga, Yutaka ; Nakao, Junichi ; Nakatani, Fumihiko ; Kobayashi, Eisuke ; Sakuraba, Minoru. / Pedicled superficial femoral artery perforator flaps for reconstruction of large groin defects. In: Microsurgery. 2014 ; Vol. 34, No. 6. pp. 470-474.
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