The inguinal or flank fold is an example whereby skin near a tumour/lesion can be used to completely close large defects created by utilising established principles for tumour excision.
The flank fold is a type of subdermal plexus flap that relies on blood flow from the subdermal plexus perfusing the flap, although there may be some contribution from the large deep circumflex iliac vessels.
This is a versatile and robust flap that can be rotated in multiple directions to reconstruct large defects around the ventral abdomen, lateral thigh or more distal pelvic limbs.
This Grade II soft tissue sarcoma on the lateral thigh has been excised with a minimum 2cm lateral margins and a deep fascial plane, this ensuring complete tumour excision.
