Reconstruction of Groin Defects Using the Extended Dissection Technique of the Gracilis Myocutaneous Flap

Background: Groin defect reconstruction is a problem which can present with devastating consequences. Such wounds are encountered after inguinal lymph node dissection (ILND), soft tissue sarcoma (STS) resection or radiation necrosis to the inguinal region. Gracilis myocutaneous (GMC) flap is an ideal option due to its easy accessibility and minimal donor site morbidity. Application of extended dissection technique makes the flap more reliable and improves its vascularity.

Method: This is a descriptive study with the purpose of determining the visibility of GMC flap in groin defects reconstruction at National Cancer Institute, Cairo University, Egypt.

Results: 15 patients underwent groin reconstruction using GMC flap. 10 patients had metastatic inguinal lymph nodes and 5 patients had groin STS. Skin island size ranged from 8 to 20 cm in length and from 6 to 10 cm in width. 10 cases were totally viable, 3 cases had partial skin loss and 2 cases had total skin loss. Only 1 case of donor site morbidity was reported.

Conclusion: GMC flap is a versatile flap that is harvested easily and with a minimal morbidity at the donorsite.