Inadvertent Inguinal Sarcoma Excision during Hernia Surgery: Outcomes, Gender Analysis, and Prevention

Figure 3

Case example: inguinal sarcoma reexcision and reconstruction. The images (a–c) and photos are of a 57-year-old male with a high-grade soft tissue sarcoma of the left groin who was referred to our institution after incomplete inguinal sarcoma excision during hernia surgery. (a) Axial T1 images of a pelvic MRI prior to reexcision surgery demonstrate a subfascial solid mass () of the left inguinal region. (b) Wide reexcision specimen is shown, which included abdominal wall resection and left hemiscrotectomy/orchiectomy performed with multidisciplinary coordination between orthopaedic oncology, surgical oncology, and urology. (c) The resultant left groin soft tissue defect was covered with a rotational gracilis flap () to protect the iliac vessels, and an acellular dermal matrix strattice with local tissue rearrangement (not shown).

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