Closure of hemicorporectomy with bilateral subtotal thigh flaps.
Hemicorporectomy is typically performed with a circumferential truncal incision, and the wound is closed primarily. Wound disruption is a common complication, especially at the base of the wound closure and posteriorly at the lumbar vertebral level. We report a case of the use of bilateral subtotal thigh flaps for the closure of a hemicorporectomy wound in a patient with a defect extending up to the high lumbar region. The subtotal thigh flap is a well-vascularized thick flap that provides a firm support for the abdominal viscera and is a large flap that can be used to close even a high lumbar defect.
Chang
D W
DW
Department of Plastic and Reconstructive Surgery, University of Texas M. D. Anderson Cancer Center, Houston 77030-4095, USA. dchang@mdanderson.org
Lee
J E
JE
Gokaslan
Z L
ZL
Robb
G L
GL
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010348:Patient Care Team; D010864:Pilonidal Sinus / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012983:Soft Tissue Neoplasms / Q000473:pathology / Q000601:surgery*; D013125:Spinal Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps