Tensor fascia lata flap reconstruction following groin dissection: is it worthwhile?
Identifieur interne : 002606 ( PubMed/Curation ); précédent : 002605; suivant : 002607Tensor 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. KekreSource :
- World journal of urology [ 1433-8726 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aine (), Carcinome épidermoïde (), Carcinome épidermoïde (anatomopathologie), Cicatrisation de plaie, Durée du séjour, Humains, Lambeaux chirurgicaux, Lymphadénectomie, Muscles squelettiques (), Mâle, Procédures de chirurgie reconstructive (), Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Tumeurs du pénis (), Tumeurs du pénis (anatomopathologie), Études rétrospectives.
- MESH :
- anatomopathologie : Carcinome épidermoïde, Tumeurs du pénis.
- Adulte, Adulte d'âge moyen, Aine, Carcinome épidermoïde, Cicatrisation de plaie, Durée du séjour, Humains, Lambeaux chirurgicaux, Lymphadénectomie, Muscles squelettiques, Mâle, Procédures de chirurgie reconstructive, Résultat thérapeutique, Stade de la tumeur, Sujet âgé, Tumeurs du pénis, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Carcinoma, Squamous Cell (pathology), Carcinoma, Squamous Cell (surgery), Groin (surgery), Humans, Length of Stay, Lymph Node Excision, Male, Middle Aged, Muscle, Skeletal (surgery), Neoplasm Staging, Penile Neoplasms (pathology), Penile Neoplasms (surgery), Reconstructive Surgical Procedures (methods), Retrospective Studies, Surgical Flaps, Treatment Outcome, Wound Healing.
- MESH :
- methods : Reconstructive Surgical Procedures.
- pathology : Carcinoma, Squamous Cell, Penile Neoplasms.
- surgery : Carcinoma, Squamous Cell, Groin, Muscle, Skeletal, Penile Neoplasms.
- Adult, Aged, Humans, Length of Stay, Lymph Node Excision, Male, Middle Aged, Neoplasm Staging, Retrospective Studies, Surgical Flaps, Treatment Outcome, Wound Healing.
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
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pubmed:21626446Le document en format XML
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<author><name sortKey="Nirmal, T J" sort="Nirmal, T J" uniqKey="Nirmal T" first="T J" last="Nirmal">T J Nirmal</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Christian Medical College, Vellore, Tamil Nadu, 632004, India. nirmaltj@gmail.com</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Urology, Christian Medical College, Vellore, Tamil Nadu, 632004</wicri:regionArea>
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<author><name sortKey="Kumar, Santosh" sort="Kumar, Santosh" uniqKey="Kumar S" first="Santosh" last="Kumar">Santosh Kumar</name>
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<author><name sortKey="Devasia, Antony" sort="Devasia, Antony" uniqKey="Devasia A" first="Antony" last="Devasia">Antony Devasia</name>
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<series><title level="j">World journal of urology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<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>
<term>Retrospective Studies</term>
<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
<term>Wound Healing</term>
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<keywords scheme="KwdFr" xml:lang="fr"><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>
<term>Tumeurs du pénis (anatomopathologie)</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome épidermoïde</term>
<term>Tumeurs du pénis</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><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>
</front>
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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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<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nirmal</LastName>
<ForeName>T J</ForeName>
<Initials>TJ</Initials>
<AffiliationInfo><Affiliation>Department of Urology, Christian Medical College, Vellore, Tamil Nadu, 632004, India. nirmaltj@gmail.com</Affiliation>
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<MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName>
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