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Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?

Identifieur interne : 002271 ( PubMed/Checkpoint ); précédent : 002270; suivant : 002272

Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?

Auteurs : T J Nirmal [Inde] ; Ashish K. Gupta ; Santosh Kumar ; Antony Devasia ; Ninan Chacko ; Nitin S. Kekre

Source :

RBID : pubmed:21626446

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English descriptors

Abstract

To compare the morbidity of primary skin closure with elective Tensor Fascia Lata (TFL) flap cover in groin dissections.

DOI: 10.1007/s00345-011-0706-z
PubMed: 21626446


Affiliations:


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pubmed:21626446

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<title xml:lang="en">Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?</title>
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<name sortKey="Nirmal, T J" sort="Nirmal, T J" uniqKey="Nirmal T" first="T J" last="Nirmal">T J Nirmal</name>
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<nlm:affiliation>Department of Urology, Christian Medical College, Vellore, Tamil Nadu, 632004, India. nirmaltj@gmail.com</nlm:affiliation>
<country xml:lang="fr">Inde</country>
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<name sortKey="Gupta, Ashish K" sort="Gupta, Ashish K" uniqKey="Gupta A" first="Ashish K" last="Gupta">Ashish K. Gupta</name>
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<name sortKey="Kumar, Santosh" sort="Kumar, Santosh" uniqKey="Kumar S" first="Santosh" last="Kumar">Santosh Kumar</name>
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<name sortKey="Devasia, Antony" sort="Devasia, Antony" uniqKey="Devasia A" first="Antony" last="Devasia">Antony Devasia</name>
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<name sortKey="Chacko, Ninan" sort="Chacko, Ninan" uniqKey="Chacko N" first="Ninan" last="Chacko">Ninan Chacko</name>
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<name sortKey="Kekre, Nitin S" sort="Kekre, Nitin S" uniqKey="Kekre N" first="Nitin S" last="Kekre">Nitin S. Kekre</name>
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<term>Adult</term>
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<term>Carcinoma, Squamous Cell (pathology)</term>
<term>Carcinoma, Squamous Cell (surgery)</term>
<term>Groin (surgery)</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lymph Node Excision</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle, Skeletal (surgery)</term>
<term>Neoplasm Staging</term>
<term>Penile Neoplasms (pathology)</term>
<term>Penile Neoplasms (surgery)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
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<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aine ()</term>
<term>Carcinome épidermoïde ()</term>
<term>Carcinome épidermoïde (anatomopathologie)</term>
<term>Cicatrisation de plaie</term>
<term>Durée du séjour</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphadénectomie</term>
<term>Muscles squelettiques ()</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du pénis ()</term>
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<term>Carcinome épidermoïde</term>
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<term>Reconstructive Surgical Procedures</term>
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<term>Carcinoma, Squamous Cell</term>
<term>Penile Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carcinoma, Squamous Cell</term>
<term>Groin</term>
<term>Muscle, Skeletal</term>
<term>Penile Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lymph Node Excision</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aine</term>
<term>Carcinome épidermoïde</term>
<term>Cicatrisation de plaie</term>
<term>Durée du séjour</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphadénectomie</term>
<term>Muscles squelettiques</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Résultat thérapeutique</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Tumeurs du pénis</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">To compare the morbidity of primary skin closure with elective Tensor Fascia Lata (TFL) flap cover in groin dissections.</div>
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<Month>07</Month>
<Day>26</Day>
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<DateCompleted>
<Year>2012</Year>
<Month>01</Month>
<Day>03</Day>
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<Year>2011</Year>
<Month>07</Month>
<Day>26</Day>
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<ISSN IssnType="Electronic">1433-8726</ISSN>
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<Volume>29</Volume>
<Issue>4</Issue>
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<Year>2011</Year>
<Month>Aug</Month>
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<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
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<ArticleTitle>Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the morbidity of primary skin closure with elective Tensor Fascia Lata (TFL) flap cover in groin dissections.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This was a retrospective study between January 2007 and December 2009. All patients undergoing groin dissections without skin involvement were included.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the twenty-five patients, who underwent groin dissections, 14 had primary skin closure (28 groin dissections)-group I. Eleven had TFL flap cover as a means of primary reconstruction (20 groin dissections)-group II. In group I, there were 16 (57%) inguinal dissections and 12 (43%) ilioinguinal block dissections, whereas 82% in group II underwent ilioinguinal dissections (p = 0.09). Wound infection requiring treatment with a culture specific antibiotic was required in 4 (14%) in group I (n = 28) and only 1 (5%) in group II (n = 20) (p = 0.38). In group I, 7 (25%) had major flap necrosis and minor necrosis was seen in another 7 (25%). Only three (15%) in group II developed minor flap necrosis (p = 0.01). Following an ilioinguinal dissection, flap necrosis occurred in 75% of groins that underwent primary closure and in 17% of those which were reconstructed with TFL (p = 0.001). Seroma formation was seen in 5 (18%) in group I and 3 (15%) in group II (p = 1.0). Lymphoedema occurred in equal numbers in both groups. The duration of hospital stay was 20 ± 14 days in the primary closure group and 16 ± 3 days in the TFL group.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The TFL flap can reduce postoperative morbidity and decrease hospital stay. Prophylactic TFL flap reconstruction following ilioinguinal dissections is advisable.</AbstractText>
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<Affiliation>Department of Urology, Christian Medical College, Vellore, Tamil Nadu, 632004, India. nirmaltj@gmail.com</Affiliation>
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