Reconstruction of Inguinal Region

Basic Principles

The inguinal region has an excess of skin so there are few cases with insufficient skin. However the femoral blood vessels run beneath the inguinal ligament, so in the case of a large and deep skin or soft tissue defect, the reconstruction of this region becomes extremely important. This is because insufficient tissue directly above the femoral blood vessels can cause the femoral blood vessels to rupture, and such an event may prove fatal. Therefore, in the case of tissue lost above the femoral blood vessels it is essential to reconstruct healthy tissue as soon as possible.

Common causes for the loss of subcutaneous soft tissue in the inguinal region are wound dehiscence following a lymphadenectomy and lymph fluid rhea.

Muscle flap is often chosen for use as the tissue flap because it has ample tissue and is resistant to infection.

The difficulty level of each surgical procedure is shown subsequent to the procedure title (e.g., Level of Difficulty: 2). The levels range from 1 to 5, with level 1 indicating a preliminary level and level 5 indicating a very advanced level.