BACKGROUND
Oncoplastic reconstruction is a critical component in musculoskeletal oncology, aiming to restore form and function following tumour resections. In Nepal, where specialized musculoskeletal oncology services are evolving, this study aims to identify the patterns and types of oncoplastic reconstruction performed after tumour resection across four major tertiary centers.
METHODS
This was a multicentric observational study conducted at KIST Medical College and Teaching Hospital, National Trauma Centre, Bhaktapur Cancer Hospital and Nepal Cancer Hospital and Research Centre. Patients with benign or malignant musculoskeletal tumours who underwent resection and oncoplastic reconstruction between January 2021 and May 2024 were included. Data on demographics, tumour sites and types, reconstructive techniques, and postoperative complications were collected and analysed using descriptive statistics.
RESULTS
This study included 141 patients with a mean age of 39.96 ± 14.04 years. Tumours were most frequently located in the lower limb, accounting for 84 (59.58%) cases. Soft tissue reconstruction was undertaken in 122 (86.52%) cases, predominantly utilizing loco-regional flaps in 103 (84.43%) patients. Functional reconstruction comprising tendon transfers and nerve grafts was performed in 19 (13.48%) cases. The mean duration of surgery was 6.32 ± 3.16 hours. Notably, 51 (36.17%) patients had previously undergone unplanned excisions before specialist referral. Postoperative complications were observed in 35 (24.83%) cases with 17 (12.05%) requiring secondary surgical intervention.
CONCLUSION
This study outlines the current landscape of oncoplastic reconstruction in musculoskeletal tumour surgery in Nepal, highlighting the importance of team work and early specialist referral.
KEYWORDS
functional reconstruction; tumours; oncoplastic reconstruction; soft tissue reconstruction