Tensor fasciae lata myocutaneous flap reconstruction following ilioinguinal node dissection

Abstract

Ilioinguinal block dissections have been traditionally associated with a high incidence of complications. Wound complication rates are in the range of 50 to 70% and lymphedema is seen in a majority of cases. A variety of incisions and reconstructive techniques have been experimented with in an effort to reduce the morbidity. We have used the tensor fasciae lata (TFL) myocutaneous flap as a means of primary reconstruction after 40 groin node dissections in 25 patients. Excision of the overlying skin was performed either prophylactically or due to actual involvement by disease. Primary healing was seen in 33 (82.5%) flaps with 7 (17.5%) developing moderate complications. Post-operative lymphedema was seen in only 5 (12%) cases. The average hospital stay was 14.2 days. We conclude that the TFL flap is a safe and reliable flap which results in minimal postoperative morbidity and a substantial decrease in hospital stay for the patient with uni- or bilateral groin node dissections.