Introduction. Enlarged inguinal lymph nodes very often present a site of
metastatic disease. Inguinal lymph node block dissection is a demanding
procedure, which usually requires at least one of reconstructive modalities.
Among different reconstruction options we selected the tensor fascia lata
(TFL) musculocutaneous flap. Objective. The paper aims at presenting a series
of inguinal block dissections, followed by immediate reconstruction, using
the TFL flap, and evaluation of tumor type, flap dimension, complication rate
and the duration of hospital stay. Methods. We present a consecutive case
series of 25 conducted block dissections. The defects were reconstructed
using TFL flap, because of the extent and site of the tissue defects,
reliability of the flap, and potentially primarily infected exulcerated
tumors. Results. The reconstruction was successful in all cases, the
incidence of surgical complications was 16%, no further complications, such
as lymphedema or gait disturbances, were noted. Primary skin tumors were
predominant (13 cases), followed by genitalia tumors (four cases). The male
sex was more frequently affected (14 vs. 11 cases). Conclusion. Having in
mind that TFL presents as a flap of adjustable size, length, shape, and
volume, with negligible donor site morbidity, and after comparing of our
results to those of other authors, we advise broader use of TFL flap. As a
reliable flap, not too difficult to harvest, with a low complication rate, it
must be taken into consideration regarding the benefits for the patient, and,
on the other hand, the surgery cost and duration.
Tensor fascia lata flap is a workhorse for defects after inguinal lymph node block dissection