Reconstruction of a septic femoral triangle fistula with a pedicled DIEP flap: A case report and mini-review

Y Berkane; P Tawa; C Guinier; N Bertheuil; S El Batti; A G Lellouch

doi:10.1016/j.anplas.2023.10.001

Reconstruction of a septic femoral triangle fistula with a pedicled DIEP flap: A case report and mini-review

Ann Chir Plast Esthet. 2024 May;69(3):233-238. doi: 10.1016/j.anplas.2023.10.001. Epub 2023 Nov 4.

Authors

Y Berkane¹, P Tawa², C Guinier², N Bertheuil³, S El Batti⁴, A G Lellouch²

Affiliations

¹ Vascularized Composite Allotransplantation Laboratory, Massachusetts General Hospital, Harvard Medical School, 50 Blossom Street, Boston, MA, United States; Shriners Children's Boston, Harvard Medical School, Boston, MA, United States; Department of Plastic, Reconstructive and Aesthetic Surgery, Rennes University Hospital Center, Rennes, France. Electronic address: yberkane@mgh.harvard.edu.
² Vascularized Composite Allotransplantation Laboratory, Massachusetts General Hospital, Harvard Medical School, 50 Blossom Street, Boston, MA, United States; Shriners Children's Boston, Harvard Medical School, Boston, MA, United States.
³ Department of Plastic, Reconstructive and Aesthetic Surgery, Rennes University Hospital Center, Rennes, France.
⁴ Department of Vascular Surgery, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, Paris, France; Inserm UMRS 1140 Innovation thérapeutique en hémostase, université de Paris, Paris, France.

PMID: 37932173
DOI: 10.1016/j.anplas.2023.10.001

Abstract

Flap-based reconstruction techniques have shown promise in preventing scar contractures and enhancing healing in fold areas by providing vascularized and thick tissue. We report a septic rupture of the superficial femoral artery treated with an arterial allograft and covered with a contralateral pedicled Deep Inferior Epigastric Artery Perforator (DIEP) flap. The patient presented favorable outcomes, including optimal healing at 8 months, with no functional limitation. A literature review also discusses alternative pedicled perforator flaps. These modern techniques present several advantages, including reliability, and can be of great interest in complex vascular surgery cases.

Keywords: Axillaire; Axillary; Fold reconstruction; Inguinal; Lambeau perforant; Lambeau pédiculé; Pedicled flap; Perforator flap; Reconstruction des plis.

Publication types

Review
Case Reports

MeSH terms

Epigastric Arteries / surgery
Femoral Artery
Humans
Mammaplasty* / methods
Perforator Flap* / blood supply
Reproducibility of Results
Surgical Flaps / blood supply
Wound Healing