A2 Katsausartikkeli tieteellisessä aikauslehdessä
Reconstructive Surgery of Inguinal Defects: A Systematic Literature Review of Surgical Etiology and Reconstructive Technique




Julkaisun tekijät: Sörelius K, Schiraldi L, Giordano S, Oranges CM, Raffoul W, DI Summa PG.
Julkaisuvuosi: 2019
Journal: In Vivo
Lehden akronyymi: In Vivo
Volyymi: 33
Julkaisunumero: 1

Tiivistelmä

Abstract

BACKGROUND/AIM:

This study aimed to evaluate the literature regarding surgical etiology demanding inguinal reconstructive surgery, associated reconstructive techniques and outcomes.

MATERIALS AND METHODS:

A systematic literature search was performed according to the PRISMA statement between 1996-2016.

RESULTS:

A total of 64 articles were included, comprising 816 patients. Two main subgroups of patients were identified: Oncological resections (n=255, 31%), and vascular surgery (n=538, 66%). Oncological resection inguinal defects were treated with pedicled myocutaneous flaps (n=166, 65%), fasciocutaneous flaps (77, 31%), muscle flaps (7, 3%) and direct closure (3, 1%). Vascular surgery complications were treated with muscle flaps (n=513, 95%). Complications for the respective subgroup (oncological resections, vascular surgery) were: infection (24%, 14%), seroma (34%, 7.5%), flap dehiscence/delayed healing (20.6%, 40.8%,). The total reintervention rate was 20%.

CONCLUSION:

Reconstruction of inguinal defects should be addressed on a case-by-case basis. Myocutaneous flaps were favoured after oncological resections, while muscle flaps were preferred after vascular surgery.



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Last updated on 2019-21-08 at 22:27