Case of a 45 year old man, farmer by occupation; presenting with a 12 by 8 cm lesion in the right popliteal fossa (region on backside of right knee). The tumour was excised with adequate margins and the defect was reconstructed using a Reverse Sural Pedicled Flap. Patient was discharged on the seventh post operative day.
The challenge in this case was the precarious location of the tumour. The popliteal fossa region is an area of active movement owing to the flexion and extension of the knee joint. The region also has major nerves and vessels passing through it. Thus covering this area to give adequate protection to underlying structures without compromising function is the main challenge.
Given below is a pictorial representation of the surgery.