[The application of pedicled anterolateral thigh fasciocutaneous flaps for reconstruction of perineal and inguinal defects].
OBJECTIVE
To evaluate a method for the reconstruction of defects of perineum and groin with pedicled anterolateral thigh fasciocutaneous flaps.


METHODS
From July 2003 to February 2005, 12 pedicled anterolateral thigh fasciocutaneous flap based on the perforators of lateral circumflex femoral artery had been designed and transferred to the defects of perineum and groin.


RESULTS
Anterolateral thigh fasciocutaneous island flaps were performed in twelve patients. The size of the transferred flap ranged from 8 cm x 11 cm to 18 cm x 20 cm. Only one patient developed superficial cutaneous necrosis in the posterior aspect of the flap because of fecal contamination and infection. The wounds healed secondarily.


CONCLUSIONS
Despite variable vascular anatomy and technical difficulties in elevating the anterolateral thigh flap, the anterolateral thigh flap is a good choice for perineum and groin reconstruction.
Wang
Xian-cheng
XC
Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, Beijing, China.
Qiao
Qun
Q
Liu
Zhi-fei
ZF
Zhao
Ru
R
Zhao
Yu-ming
YM
Wang
Cong-feng
CF
Zeng
Ang
A
Qi
Ke-ming
KM
D000328:Adult; D005260:Female; D005269:Femur / Q000601:surgery; D006119:Groin / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013524:Surgical Flaps; D014945:Wound Healing