Application of thigh anterolateral musculocutaneous lfap in inguinal lymphadenectomy
LI Xian-an
LIU Jian-fan
XU Xue-zheng
OUYANG Zheng-xiao
Abstract：Objective To investigate the effects on percutaneous lymphorrhagia, incision infection, cutaneous necrosis and other complications with the application of thigh anterolateral musculocutanious flap in inguinal lymphadenectomy, and to provide evidence for the clinical prevention of complications after inguinal lymphadenectomy.Methods A total of 73 patients with malignant melanoma of the lower limb underwent inguinal lymphadenectomy from August 2005 to July 2013, who were divided into 2 groups. Routine inguinal lymphadenectomy was performed on the patients in control group (n=33 ). The patients in experimental group (n=40 ) received thigh anterolateral musculocutaneous lfap and inguinal lymphadenectomy. The postoperative percutaneous lymphorrhagia, incision infection, cutaneous necrosis and other complications were analyzed and compared, and the postoperative lfaps were observed in both groups.Results All the patients were followed up from 6 months to 2 years, and the median follow-up time was 1 year. There were 3 cases of percutaneous lymphorrhagia ( 7.5% ), 1 case of incision infection ( 2.5% ) and 2 cases of cutaneous necrosis ( 5.0% ) in the experimental group. And 12 cases of percutaneous lymphorrhagia ( 36.4% ), 10 cases of incision infection ( 30.3% ) and 11 cases of cutaneous necrosis ( 33.1% ) were noticed in the control group. The incidence rate of complications in the experimental group was obviously lower than that in the control group, and the differences between then were statistically signiifcant (P<0.05 ). At 1 month after the operation, the flaps were ruddy and soft and their temperature was normal, without swelling, bleeding or purulence.Conclusions The incidence rate of percutaneous lymphorrhagia, incision infection, cutaneous necrosis and other complications will be effectively reduced with the application of thigh anterolateral musculocutanious lfap in inguinal lymphadenectomy, which plays an active role in the clinical prevention of complications after inguinal lymphadenectomy.
Keywords：Surgical lfapsLymph node excisionGroinSurgical wound infectionNecrosisMelanoma
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 31-34 )