Department of Plastic and Reconstructive Surgery, Hacettepe University Medical School, Ankara, Turkey.
J Reconstr Microsurg. 2010 May;26(4):259-64. doi: 10.1055/s-0030-1248234. Epub 2010 Feb 8.
The popularity of the groin flap has gradually decreased because of the disadvantages related to its short pedicle and technically demanding harvesting. We have summarized our experience with free groin flap applications in the pediatric population, which were performed by the same surgeon between 2004 and 2007. A total of 10 free groin flap transfers were performed in patients aged 3 to 13 years. Nine of the patients were operated on because of contractures of the extremities (six lower, three upper), and one patient was operated on for facial contour augmentation. The total duration of the operation was estimated to be between 2.6 and 6.1 hours (mean: 4.1 hours). A revision of the anastomosis was performed in two patients (20%), and in one of these patients (50%) partial flap failure was seen. Flap defatting via liposuction was performed in four patients (40%) in the late postoperative period. In our opinion, donor site morbidity comes into prominence particularly in the pediatric population, and we think that free groin flap should be the first choice of free flap for suitable cases in this group of patients.
由于其短蒂和技术要求高的采集，腹股沟皮瓣的普及程度逐渐降低。我们总结了我们在 2004 年至 2007 年间由同一位外科医生为儿科患者进行游离腹股沟皮瓣应用的经验。总共进行了 10 例游离腹股沟皮瓣转移，患者年龄为 3 至 13 岁。9 例患者因四肢挛缩（6 例下肢，3 例上肢）接受手术，1 例患者因面部轮廓增强接受手术。手术总时长估计在 2.6 至 6.1 小时之间（平均 4.1 小时）。2 名患者（20%）进行了吻合口修正，其中 1 名患者（50%）出现部分皮瓣失败。4 名患者（40%）在术后晚期通过吸脂术进行皮瓣去脂。在我们看来，供区并发症在儿科患者中尤为突出，我们认为游离腹股沟皮瓣应该是该组患者中合适病例的首选游离皮瓣。
