title: The pedicled myocutaneous flap as a choice reconstructive technique for immediate adjuvant brachytherapy in sarcoma treatment.
abstract: Successful treatment of soft-tissue sarcomas is highly dependent on total tumour resection coupled with adjuvant radiation therapy to achieve local control and decrease recurrence. Reconstruction of soft-tissue defects after resection aims to cover vital structures, while providing enough stable tissue to withstand adjuvant brachytherapy treatment. In the present study, pedicled myocutaneous flaps were used as a vital adjunct in the treatment of soft-tissue sarcoma, and our experience with 2 such patients is described. The flaps served to reconstruct large three-dimensional defects while providing stable coverage over brachytherapy hardware to allow for delivery of radiation in the immediate postoperative period. Pedicled locoregional myocutaneous flaps provide a safe, easy, and reliable reconstructive technique in the treatment of soft-tissue sarcoma.
authors.affiliation: Department of Surgery, Division of Plastic and Reconstructive Surgery, University of California-San Diego, CA, U.S.A.
authors.forename: S C
authors.initials: SC
authors.lastname: Saba
authors.forename: A
authors.initials: A
authors.lastname: Shaterian
authors.forename: C
authors.initials: C
authors.lastname: Tokin
authors.forename: M K
authors.initials: MK
authors.lastname: Dobke
authors.forename: A M
authors.initials: AM
authors.lastname: Wallace
keywords: Sarcoma; adjuvant cancer therapy; brachytherapy; pedicled myocutaneous flaps; radiation; wound coverage