Fascia Lata Pedunculated Flap for Upper Third Reconstruction of the Lower Extremity: A Clinical Case Presentation

Objectives: To describe the importance and versatility of the fascia latae ap for coverage of wide defects of the upper third and lower extremity. A retrospective study was carried out in a male Method: patient diagnosed with sarcoma of the left inguinal region, who underwent surgical treatment (wide excision with safety margins) + reconstruction and coverage of the bloody area with a local myofasciocutaneous fascia ap of fascia lata. Results: A 64-year-old man reported nodular presence in the left inguinal region of 1 year of evolution, the beginning of the size of a pea, which has been increasing in size and becoming painful on palpation, becoming visible on inspection, on palpation the presence of a hard, xed, painful tumor lesion. Computed Tomography (CT) scan revealed ndings regarding probable myxoid liposarcoma and embryonic biopsy of malignant mesenchymal neoplasia in favor of sarcoma. Extensive excision was performed with margin of injury safety + reconstruction and coverage of the bloody area with myofasciocutaneous local pedunculated fascia lata ap. Sarcoma is a rare and aggressive soft tissue tumor that can appear an Conclusion: ywhere in the human body. There are more than 50 types. Treatment for curative purposes will always be a complete excision with safety margins in both extension and depth, leaving great defects in coverage and functionality in the affected region. It is here where the knowledge of aps is put into practice for better coverage and preserve the functionality of the area involved. In the upper third of the thigh, the pedunculated fascia latae ap is considered to be of choice due to its versatility (cutaneous, fascius, muscular), extension, rotation and very low risk of complications.