Application of Groin Flap

Authors

  • Rashmi V Kumar MBBS, MS General Surgery ( JIPMER), Senior Resident, Department of Plastic Surgery, Jawaharlal Institute of Post graduate Medical Education and Research ( JIPMER), Pondicherry, India Author
  • Swetha M MBBS, Junior Resident, Department of Surgery, JIPMER, Pondicherry, India Author
  • Ravi Kumar Chittoria MS, MCh, DNB, MNAMS, MBA, DSc, PhD (Plastic Surgery), FNAMS, FRSM (UK), FRRHH (UK), FRCS (Edinburgh), Professor & Registrar (Academic), Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, JIPMER, Pondicherry, India Author

DOI:

https://doi.org/10.47363/JCIR/2024(3)138

Keywords:

Groin Flap, Superficial Circumflex Iliac Artery Perforator Flap, Fasciocutaneous Flap, Upper Limb Reconstruction, Abdominal Reconstruction, Perineal Reconstruction

Abstract

Introduction: The groin flap, first described by McGregor and Jackson in 1972, is recognized as the first successful free cutaneous flap. This flap is characterized by its long, narrow pedicle based on the superficial circumflex iliac artery (SCIA) and vein, offering a reliable option for various reconstructive procedures.

Methods: A comprehensive review of anatomical and clinical literature regarding the groin flap was conducted. Key anatomical features, including the vascular supply, venous drainage, innervation, and potential donor site complications, were analyzed. Surgical techniques for harvesting the flap were also discussed.

Results: The groin flap receives arterial supply primarily from the SCIA, and venous drainage by its venae comitantes. The flap's sensory innervation is provided by the lateral cutaneous nerve of T12, with the potential for motor nerve inclusion if the sartorius muscle is harvested. The groin flap presents a versatile option for reconstructive surgery, particularly for upper extremity defects and lower abdominal repairs.

Conclusions: The groin flap is a valuable surgical option in reconstructive surgery, offering consistent vascular supply and versatility in design.

Author Biographies

  • Rashmi V Kumar, MBBS, MS General Surgery ( JIPMER), Senior Resident, Department of Plastic Surgery, Jawaharlal Institute of Post graduate Medical Education and Research ( JIPMER), Pondicherry, India

    MBBS, MS General Surgery ( JIPMER), Senior Resident, Department of Plastic Surgery, Jawaharlal Institute of Post graduate Medical Education and Research
    ( JIPMER), Pondicherry, India

  • Swetha M, MBBS, Junior Resident, Department of Surgery, JIPMER, Pondicherry, India

    MBBS, Junior Resident, Department of Surgery, JIPMER, Pondicherry, India 

  • Ravi Kumar Chittoria, MS, MCh, DNB, MNAMS, MBA, DSc, PhD (Plastic Surgery), FNAMS, FRSM (UK), FRRHH (UK), FRCS (Edinburgh), Professor & Registrar (Academic), Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, JIPMER, Pondicherry, India

    MS, MCh, DNB, MNAMS, MBA, DSc, PhD (Plastic Surgery), FNAMS, FRSM (UK), FRRHH (UK), FRCS (Edinburgh), Professor & Registrar (Academic),
    Head of IT Wing and Telemedicine, Department of Plastic Surgery & Telemedicine, JIPMER, Pondicherry, India

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Published

2024-10-31

Issue

Vol. 3 No. 5 (2024): Volume 3 Issue 5

Section

Articles