Radical inguinal lymphadenectomy (RIL) for bulky metastatic melanoma and non-melanoma skin cancers of the inguinal region, while shown to improve morbidity and survival oncologically, can result in substantial morbidity from wound complications. Skin defects cannot be closed primarily and the substantial dead space predisposes to seroma, wound dehiscence and infection.
The Quadriceps Keystone Island Flap (QKIF) is an effective means of reconstructing inguinal defects after RIL, particularly in high-risk patients, and is technically simpler than other reconstructive techniques advocated for this purpose. Furthermore, the QKIF offers patients with advanced disease (where management is primarily palliative) a potentially improved quality of life with reduced operative morbidity.
‘Quadriceps Keystone Island Flap for Radical Inguinal Lymphadenectomy: A reliable locoregional island flap for groin defects.’ Co-authors: Behan FC, Paddle A, Rozen WM, Ye X, Speakman D, Henderson MA. ANZ J Surg. 2011 Mar 17 (Epub ahead of print).
Browse Similar Papers
21 Mar 2024
Optimising Patient Outcomes in Tongue Cancer: A Multidisciplinary Approach
The initiative outlined in this paper emphasises the importance of a collaborative strategy in managing tongue cancer, involving a broad spectrum of healthcare professionals. This multidisciplinary method integrates the expertise of nurses, allied health workers, and various medical specialists to enhance diagnosis, treatment, and recovery processes for patients. By developing and examining a series of online lectures, this study highlights the critical roles played by each discipline in the comprehensive care pathway, from prevention and early detection to the management of advanced stages of the disease. This approach aims not only to address the clinical aspects of tongue cancer but also to support the overall well-being of patients, showcasing the benefits of teamwork in healthcare settings for improving patient outcomes.
05 May 2023
Single-stage eyebrow reconstruction with a double opposing forehead flap: a case report
The forehead flap is a widely used pedicled flap for nasal, periorbital and forehead reconstruction. It was first described by the Indian physician Sushruta in 500 BCE,1 making it one of the oldest surgical procedures still in use today.
20 Sep 2022
Prehabilitation induces endothelial progenitor cell mobilisation in patients undergoing major surgery
Prehabilitation induces endothelial progenitor cell mobilisation in patients undergoing major surgery - Dataset of a clinical trial