PMC2938604_01
Left groin composite defect
IJPS-43-103-g001.jpg
PMC2938604_01_IJPS-43-103-g001.jpg
F0001
This defect of 15 x 22cms with exposed PTFE grafts and the mesh [Figure 1] posed a new reconstructive challenge due to non availability of ipsilateral pedicled flaps as a long length of the external iliac and femoral vessels including the profunda were resected.
Contralateral right anterolateral thigh fl ap marked
IJPS-43-103-g002.jpg
PMC2938604_01_IJPS-43-103-g002.jpg
F0002
The flap was tunnelled under the rectus femoris which provided unfolding of the 15 cms long pedicle for easier swing to the opposite groin [Figures 2-4].
ALT flap covering the defect after extended dissection and tunnelling under rectus femoris medialising the pedicle
IJPS-43-103-g003.jpg
PMC2938604_01_IJPS-43-103-g003.jpg
F0003
The flap was tunnelled under the rectus femoris which provided unfolding of the 15 cms long pedicle for easier swing to the opposite groin [Figures 2-4].
Healed ALT flap and the donor thigh at 3 weeks
IJPS-43-103-g004.jpg
PMC2938604_01_IJPS-43-103-g004.jpg
F0004
The flap was tunnelled under the rectus femoris which provided unfolding of the 15 cms long pedicle for easier swing to the opposite groin [Figures 2-4].