title: Pelvic reconstruction with pedicled thigh flaps: indications, surgical techniques, and postoperative imaging.
abstract: OBJECTIVE
  This article will describe and illustrate the relevant anatomy and surgical techniques used in pelvic reconstruction using regional pedicled thigh flaps, which is often necessary in oncologic surgeries. Examples of normal postoperative imaging and common complications that can accompany pelvic reconstruction with anterolateral, gracilis myocutaneous, and posterior thigh fasciocutaneous flaps will be provided.
  
  
  CONCLUSIONS
  Pelvic reconstruction using regional pedicled thigh flaps is often needed with extirpative oncologic surgeries to eliminate dead space, provide pelvic organ support, restore form and function, and introduce vascularized tissue to promote wound healing. Radiologists need to be aware of the normal postoperative appearance of these flaps so that the flaps are not mistaken for residual or recurrent disease and so that residual or recurrent disease can be identified and treated.
authors.affiliation: 1 Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Unit 1473, 1515 Holcombe Blvd, Houston, TX 77030.
authors.forename: Tara L
authors.initials: TL
authors.lastname: Sagebiel
authors.forename: Silvana C
authors.initials: SC
authors.lastname: Faria
authors.forename: Aparna
authors.initials: A
authors.lastname: Balachandran
authors.forename: Charles E
authors.initials: CE
authors.lastname: Butler
authors.forename: Patrick B
authors.initials: PB
authors.lastname: Garvey
authors.forename: Priya R
authors.initials: PR
authors.lastname: Bhosale
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D010388:Pelvis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013848:Thigh / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome