Pedicled Gracilis Myocutaneous Flap Coverage in Metastatic Inguinal Lymphadenectomy: A Case Series

This case series evaluates the use of pedicled gracilis myocutaneous flap for reconstructing inguinal defects following enbloc lymphadenectomy in patients with metastatic inguinal lymphadenopathy secondary to cutaneous, colorectal, and genital malignancies. Six patients were treated between February 2021 and March 2024 at Queen Elizabeth Hospital, Sabah. The procedure provided adequate coverage and bulk to the inguinal defect, facilitating further treatment. The outcomes suggest that this technique is effective for managing complex inguinal defects with minimal complications.