{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:07:39Z","timestamp":1789103259693,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anterior and lateral pelvic tumors may extend into the iliacoinguinal region and require wide en bloc resection. When resection includes the inguinal ligament, lower abdominal wall, and\u2014in selected cases\u2014the external iliac vessels, reconstruction must restore a mechanically demanding abdomen\u2013groin junction while protecting major neurovascular structures. We describe an MPO\u2010based reconstructive strategy and report early outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed six consecutive patients who underwent en bloc iliacoinguinal resection and reconstruction between January and December 2024. Reconstruction followed preperitoneal MPO repair principles, including a mesh\u2010based inguinal ligament substitute, peritoneal envelope (\u201cvisceral sac\u201d) reconstruction when required, abdominal wall reinforcement, and femoral canal\/oval fossa dead\u2010space management. Prosthetic graft reconstruction was performed when the external iliac vessels were resected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients completed the planned procedure. Inguinal ligament substitute reconstruction was performed in 6\/6 patients, peritoneal envelope reconstruction in 5\/6, and external iliac vessel resection with reconstruction in 4\/6. Mean operative time was (375.83\u2009\u00b1\u2009129.63)\u2009min and estimated blood loss was (433\u2009\u00b1\u2009245.95)\u2009mL. Mean time to first flatus was (4\u2009\u00b1\u20090.89)\u2009days and length of stay was (8.67\u2009\u00b1\u20094.37)\u2009days. Pathology confirmed R0 resection in all cases. One patient developed an oval fossa seroma that resolved with repeated aspiration; two had transient mild lower\u2010limb edema. No limb ischemia\/necrosis, enteric fistula, bowel obstruction\/ileus, or early abdominal wall hernia occurred during early follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MPO\u2010based reconstruction after en bloc iliacoinguinal resection is feasible and appears safe in the short term. A stepwise approach that restores a groin anchor, re\u2010establishes compartment separation, reinforces the abdominal wall, and manages femoral dead space may improve early junctional stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70954","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:48:08Z","timestamp":1789102088000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Strategy for En Bloc Iliacoinguinal Resection and Reconstruction Using Myopectineal Orifice Repair Principles for Anterior and Lateral Pelvic Tumors: A Case Series"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9576-5885","authenticated-orcid":false,"given":"Song","family":"Yang","sequence":"first","affiliation":[{"name":"Department of General Surgery No. 991 Hospital of the Joint Logistics Support Force, PLA  Xiangyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9862-5537","authenticated-orcid":false,"given":"Yao","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Second Affiliated Hospital of Naval Medical University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Second Affiliated Hospital of Naval Medical University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenying","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Second Affiliated Hospital of Naval Medical University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiawei","family":"Che","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Second Affiliated Hospital of Naval Medical University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9307-3142","authenticated-orcid":false,"given":"Darius Aw Kang","family":"Lie","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Sengkang General Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7251-3627","authenticated-orcid":false,"given":"Jian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Second Affiliated Hospital of Naval Medical University  Shanghai 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