Clinical Study

Soft Tissue Reconstruction following Hemipelvectomy: Eight-Year Experience and Literature Review

Figure 2

19-year-old man with a diagnosis of peripheral primitive neuroectodermal sarcoma. He had right hemipelvectomy and reconstruction with mesh and anteromedial fasciocutaneous flap based on perforators from superficial femoral vessels. (a) Pre-op photo of the large swelling over the hip and gluteal areas. (b) Dissection of the pedicle showing the intact cutaneous perforators to the skin. Inset-amputated limb showing area where the flap has been raised. (c) Peritoneal cavity is supported with mesh. Inset shows defect and the flap. (d) Immediate post op photo showing the flap inset.
702904.fig.002a
(a)
702904.fig.002b
(b)
702904.fig.002c
(c)
702904.fig.002d
(d)