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Superiorly based V flap for inguinal soft tissue defect reconstruction

As per requirements of the defect [Figure 2], a lateral “V” flap is planned [Figure 3] from the anterolateral aspect of the thigh, centered on the lateral intermuscular septum, with its base at the lateral end of the inguinal defect (usually at the level of the greater trochanter of femur) and the tip at distal end like a “V” shaped flap. Flap is raised from distal to proximal direction in the plane just superficial to the tensor fascia lata preserving as much of perforators to the flap from the lateral side. Then the medial flap, overlying the soft tissue of the anterior thigh, is elevated superficial to the deep fascia of the thigh. Now the two flaps are transposed as in a technique similar to “Z” plasty [Figure 4]. Hence, the “V” shaped flap will cover the inguinal defect; medial side flap mobility facilitates primary closure of the donor defect.