Wound Complications Following Resection of Adductor Compartment Tumours

[摘要] PurposeLimb salvage surgery of soft tissue sarcomas is associated with both a risk of local recurrence and wound complications.Although the lower limb appears to be at greater risk of wound-related morbidity, few studies separate anatomicalcompartments. We believe that the adductor compartment of the thigh has a particularly high rate of complications and soperformed a retrospective analysis of all soft tissue sarcomas arising in this region undergoing limb salvage.PatientsPatients with intermediate and high grade adductor compartment tumours were identified from our database andthe case notes were reviewed for patient, tumour, surgical and wound variables, identifying those with wound complicationsboth before and after discharge.ResultsOf 49 patients who underwent limb salvage surgery, 22 (42.9%) developed complications. Twelve patients (24.5%)required further surgery prior to wound healing and 10 patients had delays in post-operative radiotherapy. There were significantdifferences in the rates of preceding surgery, open biopsy performed at other centres and previous radiotherapy to thisregion between the complicated and uncomplicated groups.DiscussionThe management of these difficult tumours carries a high rate of wound complications and requires careful planningprior to tissue biopsy. Open biopsies should be performed by the tumour surgeon to allow easy inclusion of this site inthe definitive procedure. In previously irradiated or operated limbs, alternative strategies for wound management may needto be considered.

[学科分类] 肿瘤学