Viability of the rectus femoris muscle flap for groin wound coverage after ligation of proximal inflow.

Publication/Presentation Date

1-1-2024

Abstract

Lower extremity revascularization via groin incisions can be complicated by wound dehiscence associated with infection, seroma and femoral vessel exposure. This may require additional surgical debridement and coverage of vascular structures and grafts. The pedicled rectus femoris muscle flap (RFF) has both bulk and a large arc of rotation, making it useful for reconstruction. Its main pedicle is the descending branch of the lateral femoral circumflex artery (DLFCA), a branch of the profunda femoris artery. One could anticipate that ligation of more proximal vasculature could lead to ischemia of the RFF. We present two patients who each underwent vascular surgery involving the common femoral artery and subsequent reconstruction utilizing a pedicled RFF. Both patients then required additional vascular procedures involving the ligation of inflow vessels proximal to the DLFCA. The flaps remained viable, demonstrating the rich collateralization of blood supply that occurs in vascular disease patients.

Volume

2024

Issue

1

First Page

306

Last Page

306

ISSN

2042-8812

Disciplines

Medicine and Health Sciences

PubMedID

38239382

Department(s)

Fellows and Residents

Document Type

Article

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