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