Soft Tissue Reconstruction following Hemipelvectomy: Eight-Year Experience and Literature Review
Table 2
Type of flap used and their related complications.
Flap design
Type
Pedicle
Flap complications
Number of cases
Subtotal
Fillet thigh
Musculocutaneous
SFA
Minor wound dehiscence. Managed conservatively
2
Islanded musculocutaneous
SFA
Early congestion-pedicle compressed by bowel-resolved after exploration Later partial flap necrosis after multiple wound re-exploration secondary to haematoma/fecal leakage and enterocutaneous fistula
1
4
SFA (with venous anastomosis)
None
1
Anterolateral thigh
Islanded fasciocutaneous
Lateral circumflex femoral
Flap congestion due to proximal femoral artery injury and haematoma formation. Resolved after reexploration and revascularization of flap proximal to injury area
1
1
Anteromedial thigh
Fasciocutaneous
SFA
None
1
1
Posterior thigh
Musculocutaneous (gluteus maximus)
Internal iliac preserved
None
2
3
Internal Iliac ligated
Partial loss, patient was on multiple inotropes secondary to shock and sepsis. Died day 6 post op
1
Free flap
Gluteus maximus myocutaneous free flap
Inferior gluteal artery and vena comitans
Transient congestion secondary to hematoma which was surgically evacuated
1
1
Random pattern
Fasciocutaneous
None
1
3
Wound infections and dehiscences manage conservatively
