Massive Sacral Chordoma Resection and Reconstruction with a Combination of Pedicled and Free Flaps

Conclusion

This case illustrates the usage of combined pedicled and free flaps in the coverage of a massive sacral defect. This included (1) GPT transposition flap, (2) regional pedicled OVRAM flap, and (3) LD free flap. Watertight closure with skin was a key to contain what was essentially a large bag of seroma fluid within the pelvis. Communication between the resecting and reconstructive teams is paramount to optimize outcomes. In our case, all flaps survived and the patient regained ambulatory function.

Note

Informed consent was obtained from the patient and the preparation of this article conforms to the Declaration of Helsinki.

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