title: [Locoregional solutions for groin defects : Coverage after vascular surgery].
abstract: BACKGROUND
  Vascular surgery through a groin incision may be associated with severe wound healing disorders in this sensitive area. There are many options to reconstruct the defect surgically. The choice of surgical reconstruction depends mainly on the individual status of vasculature, which is most often compromised in these patients. There are random pattern flaps, as well as perforator, pedicled flaps or microvascular flaps to choose from.
  
  
  OBJECTIVE
  We give an overview of plastic surgical solutions for groin defects, with a special focus on complex wounds after vascular surgical complications. We discuss advantages and disadvantages of different flaps with two case reports and also show alternatives.
  
  
  METHODS
  We demonstrate in two cases how the reconstruction of the groin defect was planned, taking into account the vascular status, and why we chose an innovative and seldom-used option in each case.
  
  
  RESULTS
  The selected flaps, a pedicled fasciocutaneous ALT propeller flap and a perforator-based, pedicled abdominal advancement flap reconstructed the defects successfully.
  
  
  CONCLUSIONS
  The surgical therapy for the reconstruction of groin defects should be chosen according to the individual vascular status to ensure safe and reliable blood supply. To guarantee the best possible reconstruction and avoid postoperative healing disorders and infections, less common flaps should also be considered.
authors.affiliation: Klinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland. m.cerny@tum.de.
authors.forename: M
authors.initials: M
authors.lastname: Cerny
authors.affiliation: Abteilung für Plastische, Rekonstruktive und Ästhetische Chirurgie, Ospedale Regionale di Lugano, Sede Italiano (OIL), Ente Ospedaliero Cantonale (EOC), Lugano, Schweiz.
authors.forename: Y
authors.initials: Y
authors.lastname: Harder
authors.affiliation: Klinik und Poliklinik für Vaskuläre und Endovaskuläre Chirurgie, Klinikum rechts der Isar, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Zimmermann
authors.affiliation: Klinik und Poliklinik für Vaskuläre und Endovaskuläre Chirurgie, Klinikum rechts der Isar, München, Deutschland.
authors.forename: H-H
authors.initials: HH
authors.lastname: Eckstein
authors.affiliation: Klinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
authors.forename: H-G
authors.initials: HG
authors.lastname: Machens
authors.affiliation: Klinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
authors.forename: J-T
authors.initials: JT
authors.lastname: Schantz
authors.affiliation: Abteilung für Handchirurgie, Plastische Chirurgie und Ästhetische Chirurgie, Ludwig-Maximilians-Universität München, München, Deutschland.
authors.forename: T L
authors.initials: TL
authors.lastname: Schenck
mesh_terms: D000369:Aged, 80 and over; D006119:Groin / Q000098:blood supply* / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D061525:Perforator Flap / Q000098:blood supply* / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps / Q000098:blood supply* / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods; D014656:Vascular Surgical Procedures; D014945:Wound Healing / Q000502:physiology
keywords: ALT flap; Groin defect; Microsurgery; Pedicled flap; Vascular surgery