Use of flaps in inguinal lymphadenectomy in metastatic penile cancer
ABSTRACT Purpose: Reviewing surgical procedures using fasciocutaneous and myocutaneous flaps for inguinal reconstruction after lymphadenectomy in metastatic penile cancer. Material and Methods: We reviewed the current literature of the Pubmed database according to PRISMA guidelines. The search ter...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2021-10-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382021000601108&tlng=en |
| _version_ | 1818752500141916160 |
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| author | Roberta Alvares Azevedo Ana Claudia Roxo Silvia Helena Baima Alvares Daniel Pereira Baptista Luciano A. Favorito |
| author_facet | Roberta Alvares Azevedo Ana Claudia Roxo Silvia Helena Baima Alvares Daniel Pereira Baptista Luciano A. Favorito |
| author_sort | Roberta Alvares Azevedo |
| collection | DOAJ |
| description | ABSTRACT Purpose: Reviewing surgical procedures using fasciocutaneous and myocutaneous flaps for inguinal reconstruction after lymphadenectomy in metastatic penile cancer. Material and Methods: We reviewed the current literature of the Pubmed database according to PRISMA guidelines. The search terms used were “advanced penile cancer”, “groin reconstruction”, and “inguinal reconstruction”, both alone and in combination. The bibliographic references used in the selected articles were also analyzed to include recent articles into our research. Results: A total of 54 studies were included in this review. About one third of penile cancers are diagnosed with locally advanced disease, often presenting with large lymph node involvement. Defects in the inguinal region resulting from the treatment of metastatic penile cancer are challenging for the surgeon and cause high patient morbidity, rendering primary closure unfeasible. Several fasciocutaneous and myocutaneous flaps of the abdomen and thigh can be used for the reconstruction of the inguinal region, transferring tissue to the affected area, and enabling tensionless closure. Conclusions: The reconstruction of defects in the inguinal region with the aid of flaps allows for faster postoperative recovery and reduces the risk of complications. Thus, the patient will be able to undergo potential necessary adjuvant treatments sooner. |
| first_indexed | 2024-12-18T04:52:27Z |
| format | Article |
| id | doaj.art-980d104ca6904c25a28e7181adc9192d |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-18T04:52:27Z |
| publishDate | 2021-10-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-980d104ca6904c25a28e7181adc9192d2022-12-21T21:20:22ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192021-10-014761108111910.1590/s1677-5538.ibju.2021.99.14Use of flaps in inguinal lymphadenectomy in metastatic penile cancerRoberta Alvares AzevedoAna Claudia RoxoSilvia Helena Baima AlvaresDaniel Pereira BaptistaLuciano A. Favoritohttps://orcid.org/0000-0003-1562-6068ABSTRACT Purpose: Reviewing surgical procedures using fasciocutaneous and myocutaneous flaps for inguinal reconstruction after lymphadenectomy in metastatic penile cancer. Material and Methods: We reviewed the current literature of the Pubmed database according to PRISMA guidelines. The search terms used were “advanced penile cancer”, “groin reconstruction”, and “inguinal reconstruction”, both alone and in combination. The bibliographic references used in the selected articles were also analyzed to include recent articles into our research. Results: A total of 54 studies were included in this review. About one third of penile cancers are diagnosed with locally advanced disease, often presenting with large lymph node involvement. Defects in the inguinal region resulting from the treatment of metastatic penile cancer are challenging for the surgeon and cause high patient morbidity, rendering primary closure unfeasible. Several fasciocutaneous and myocutaneous flaps of the abdomen and thigh can be used for the reconstruction of the inguinal region, transferring tissue to the affected area, and enabling tensionless closure. Conclusions: The reconstruction of defects in the inguinal region with the aid of flaps allows for faster postoperative recovery and reduces the risk of complications. Thus, the patient will be able to undergo potential necessary adjuvant treatments sooner.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382021000601108&tlng=enPenile NeoplasmsLymph Node ExcisionLymphatic Metastasis |
| spellingShingle | Roberta Alvares Azevedo Ana Claudia Roxo Silvia Helena Baima Alvares Daniel Pereira Baptista Luciano A. Favorito Use of flaps in inguinal lymphadenectomy in metastatic penile cancer International Brazilian Journal of Urology Penile Neoplasms Lymph Node Excision Lymphatic Metastasis |
| title | Use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| title_full | Use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| title_fullStr | Use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| title_full_unstemmed | Use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| title_short | Use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| title_sort | use of flaps in inguinal lymphadenectomy in metastatic penile cancer |
| topic | Penile Neoplasms Lymph Node Excision Lymphatic Metastasis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382021000601108&tlng=en |
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