[Deep inferior epigastric pedicle for microsurgical free flap transfer for contralateral thigh root coverage]

Abstract

Thigh loss cover after carcinologic resection of sarcomas can be complex and compromise the vascular tree of the lower limb. We report a case of a patient with recurrent sarcoma of the right thigh. After multiple resections, the femur and hip joint are exposed. The superficial and deep femoral vessels are taken in the excisional piece. The reconstruction is performed by a free musculocutaneous latissimus dorsi flap, anastomosed to the deep inferior controlateral epigastric vessels. The deep inferior epigastric vessels are of sufficient length to join the contralateral hemiabdomen after dissection with a gauge allowing microsurgical anastomoses. They can serve as recipient vessels for a flap covering the contralateral thigh.

Keywords: Cuisse; Deep inferior epigastric vessel; Free flap; Grand dorsal; Lambeau libre; Latissimus dorsi; Sarcoma; Sarcome; Thigh; Vaisseaux épigastriques inférieurs profonds.