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01-08-2014 | Original Article

Clinical experience using a tensor fascia lata flap in oncology patients

Authors: Akira Saito, Hidehiko Minakawa, Noriko Saito, Kazuo Isu, Hiroaki Hiraga, Toshihisa Osanai

Published in: Surgery Today | Issue 8/2014

Abstract

Purpose

The tensor fascia lata (TFL) flap is used to reconstruct various anatomical structures in different regions of the body. We herein describe the use of TFL flaps for a variety of indications, and discuss the results of such procedures with respect to postoperative complications in oncology patients.

Methods

We reviewed 15 oncology patients who were treated with TFL flaps.

Results

The lesions were located in the groin in five patients, the lower abdomen in five, and the buttocks, ischium, shoulder, thigh and upper abdomen in one patient each. Abdominal wall reconstruction was performed in nine patients. Three patients underwent resection of femoral vessels and the tumor in the groin, followed by a vascular graft implant. In these patients, the combined flaps were transferred to reconstruct the defects. Nine patients developed complications. No total flap loss occurred in any patient.

Conclusions

Postoperative complications, such as necrosis in the distal part of the flap (33 %) and ventral hernias (11 %) were seen, but these percentages were comparable to those seen in previous reports. Our review shows that the TFL flap is useful to reconstruct the defects in various anatomical sites in oncology patients.

Bulstrode NW, Kotronakis I, Baldwin MA. Free tensor fasciae latae musculofasciocutaneous flap in reconstructive surgery: a series of 85 cases. J Plast Reconstr Aesthet Surg. 2006;59:130–6.PubMedCrossRef

Koshima I, Urushibara K, Inagawa K, Moriguchi T. Free tensor fasciae latae perforator flap for the reconstruction of defects in the extremities. Plast Reconstr Surg. 2001;107:1759–65.PubMedCrossRef

Caffee HH. Reconstruction of the abdominal wall by variations of the tensor fasciae latae flap. Plast Reconstr Surg. 1983;71:348–53.PubMedCrossRef

Hill HL, Nahai F, Vasconez LO. The tensor fascia lata myocutaneous free flap. Plast Reconstr Surg. 1978;61:517–22.PubMedCrossRef

Hubmer MG, Schwaiger N, Windisch G, Feigl G, Koch H, Haas FM, et al. The vascular anatomy of the tensor fasciae latae perforator flap. Plast Reconstr Surg. 2009;124:181–9.PubMedCrossRef

Ohno Y, Tanaka K, Kanematsu T, Noguchi M, Okada M, Kamitamari A, et al. Reconstruction of a pelvic floor defect using a pedicled tensor fascia lata flap: a new technique to prevent radiation injury for pediatric patients with advanced pelvic tumors. J Pediatr Surg. 2008;43:947–50.PubMedCrossRef

Nahai F, Hill L, Hester TR. Experiences with the tensor fascia lata flap. Plast Reconstr Surg. 1979;63:788–99.PubMedCrossRef

Safak T, Klebuc MJ, Kecik A, Shenaq SM. The subcutaneous pedicle tensor fascia lata flap. Plast Reconstr Surg. 1996;97:765–74.PubMedCrossRef

Tukiainen E, Leppaniemi A. Reconstruction of extensive abdominal wall defects with microvascular tensor fasciae latae flap. Br J Surg. 2011;98:880–4.PubMedCrossRef

10.

Koshima I, Moriguchi T, Inagawa K, Urushibara K. Dynamic reconstruction of the abdominal wall using a reinnervated free rectus femoris muscle transfer. Ann Plast Surg. 1999;43:199–203.PubMedCrossRef

11.

Sasaki K, Nozaki M, Nakazawa H, Kikuchi Y, Huang T. Reconstruction of a large abdominal wall defect using combined free tensor fasciae latae musculocutaneous flap and anterolateral thigh flap. Plast Reconstr Surg. 1998;102:2244–52.PubMedCrossRef

12.

Lin MT, Chang KP, Lin SD, Lai CS, Yang YL. Tensor fasciae latae combined with tangentially split vastus lateralis musculocutaneous flap for the reconstruction of pressure sores. Ann Plast Surg. 2004;53:343–7.PubMedCrossRef

13.

Agarwal AK, Gupta S, Bhattacharya N, Guha G, Agarwal A. Tensor fascia lata flap reconstruction in groin malignancy. Singap Med J. 2009;50:781–4.

14.

Seify H, Moyer HR, Jones GE, Busquets A, Brown K, Salam A, et al. The role of muscle flaps in wound salvage after vascular graft infections: the emory experience. Plast Reconstr Surg. 2006;117:1325–33.PubMedCrossRef

15.

Morasch MD, Sam AD 2nd, Kibbe MR, Hijjawi J, Dumanian GA. Early results with use of gracilis muscle flap coverage of infected groin wounds after vascular surgery. J Vasc Surg. 2004;39:1277–83.PubMedCrossRef

16.

Alkon JD, Smith A, Losee JE, Illig KA, Green RM, Serletti JM. Management of complex groin wounds: preferred use of the rectus femoris muscle flap. Plast Reconstr Surg. 2005;115:776–83 (discussion 84–5).PubMedCrossRef

17.

Muramatsu K, Ihara K, Taguchi T. Selection of myocutaneous flaps for reconstruction following oncologic resection of sarcoma. Ann Plast Surg. 2010;64:307–10.PubMedCrossRef

18.

Rifaat MA, Abdel Gawad WS. The use of tensor fascia lata pedicled flap in reconstructing full thickness abdominal wall defects and groin defects following tumor ablation. J Egypt Natl Canc Inst. 2005;17:139–48.PubMed

19.

de Vries Reilingh TS, Bodegom ME, van Goor H, Hartman EH, van der Wilt GJ, Bleichrodt RP. Autologous tissue repair of large abdominal wall defects. Br J Surg. 2007;94:791–803.PubMedCrossRef

20.

Gosain AK, Yan JG, Aydin MA, Das DK, Sanger JR. The vascular supply of the extended tensor fasciae latae flap: how far can the skin paddle extend? Plast Reconstr Surg. 2002;110:1655–61 (discussion 62–3).PubMedCrossRef

21.

Aslan G, Tuncali D, Bingul F, Ates L, Yavuz N. The “duck” modification of the tensor fascia lata flap. Ann Plast Surg. 2005;54:637–9.PubMedCrossRef

22.

Tang R, Gu Y, Gong DQ, Qian YL. Immediate repair of major abdominal wall defect after extensive tumor excision in patients with abdominal wall neoplasm: a prospective review of 27 cases. Ann Surg Oncol. 2009;16:2895–907.PubMedCrossRef

23.

Kurul S, Dincer M, Kizir A, Uzunismail A, Darendeliler E. Plastic surgery in irradiated areas: analysis of 200 consecutive cases. Eur J Surg Oncol. 1997;23:48–53.PubMedCrossRef

24.

Staiano JJ, Wong L, Butler J, Searle AE, Barton DP, Harris PA. Flap reconstruction following gynaecological tumour resection for advanced and recurrent disease–a 12 year experience. J Plast Reconstr Aesthet Surg. 2009;62:346–51.PubMedCrossRef

Title: Clinical experience using a tensor fascia lata flap in oncology patients
Authors: Akira Saito
Hidehiko Minakawa
Noriko Saito
Kazuo Isu
Hiroaki Hiraga
Toshihisa Osanai
Publication date: 01-08-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 8/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0733-z

At a glance: The STEP trials

Springer Medicine

Clinical experience using a tensor fascia lata flap in oncology patients

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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