Japanese Journal of Cardiovascular Surgery Vol46,No6

Sartorius Muscle Flap Coverage in Patients with Groin Wound Complications Subsequent to Vascular Surgical Procedure
Satoko Funata*,** Tetsuro Uchida* Azumi Hamasaki*
Atsushi Yamashita* Jun Hayashi* Ai Takahashi*
Mitsuaki Sadahiro*

(Second Department of Surgery, Yamagata University School of Medicine*, Yamagata, Japan, and Department of Cardiovascular Surgery, Kyorin University Hospital**, Tokyo, Japan)

After vascular surgical procedures, complications of the wounds in the groin region may sometimes lead to prosthetic graft infections or prolonged hospital stays. While some wounds heal completely during re-suture and VAC therapy, healing of other wounds that involve refractory graft infection, lymphorrhea, or a dead space, is extremely difficult. We performed tissue coverage using a Sartorius muscle flap for such difficult cases. The muscle is twisted onto itself to fill the dead space with some blood supply. Tissue coverage using a Sartorius muscle flap with adequate blood flow was effective in improving lymphorrhea and infection. We report four such cases where complications in the groin region were managed using a Sartorius muscle flap for wounded coverage.


Jpn. J. Cardiovasc. Surg. 46:330-333(2017)

Keywords:Sartorius muscle flap;wound healing failure

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