The inferior gluteal artery myocutaneous flap with vascularized fascia lata to reconstruct extended abdominoperineal defects
Abdominoperineal resections have evolved to the point where increasing amounts of skin and pelvic floor are removed, resulting in extensive defects. Many patients receive neoadjuvant chemoradiotherapy and may require adjuvant treatment; thus, primary wound healing is essential. Existing reconstructi...
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Published in | Plastic and reconstructive surgery (1963) Vol. 132; no. 5; p. 836e |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
01.11.2013
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Subjects | |
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Abstract | Abdominoperineal resections have evolved to the point where increasing amounts of skin and pelvic floor are removed, resulting in extensive defects. Many patients receive neoadjuvant chemoradiotherapy and may require adjuvant treatment; thus, primary wound healing is essential. Existing reconstructive techniques may be inadequate and predispose to postoperative complications including wound breakdown and perineal herniation. The authors have developed a novel innervated gluteal flap reconstruction with significant advantages, including preservation of abdominal wall integrity, prone harvest, reliable vascularity, bulky volume, and tailored inset. This robust technique addresses all components required for successful perineal reconstruction comprising dead space obliteration, reconstruction and maintenance of perineal floor integrity, and importation of nonirradiated skin to facilitate primary wound healing. Indications can be extended to include reconstruction of the posterior vaginal wall and large sarcoma/sacrectomy defects.
Therapeutic, IV. |
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AbstractList | Abdominoperineal resections have evolved to the point where increasing amounts of skin and pelvic floor are removed, resulting in extensive defects. Many patients receive neoadjuvant chemoradiotherapy and may require adjuvant treatment; thus, primary wound healing is essential. Existing reconstructive techniques may be inadequate and predispose to postoperative complications including wound breakdown and perineal herniation. The authors have developed a novel innervated gluteal flap reconstruction with significant advantages, including preservation of abdominal wall integrity, prone harvest, reliable vascularity, bulky volume, and tailored inset. This robust technique addresses all components required for successful perineal reconstruction comprising dead space obliteration, reconstruction and maintenance of perineal floor integrity, and importation of nonirradiated skin to facilitate primary wound healing. Indications can be extended to include reconstruction of the posterior vaginal wall and large sarcoma/sacrectomy defects.
Therapeutic, IV. |
Author | Grinsell, Damien G Morrison, Edwin Tansley, Patrick D T |
Author_xml | – sequence: 1 givenname: Damien G surname: Grinsell fullname: Grinsell, Damien G organization: Melbourne, Victoria, Australia From Western Health and St. Vincent's Hospitals – sequence: 2 givenname: Edwin surname: Morrison fullname: Morrison, Edwin – sequence: 3 givenname: Patrick D T surname: Tansley fullname: Tansley, Patrick D T |
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Snippet | Abdominoperineal resections have evolved to the point where increasing amounts of skin and pelvic floor are removed, resulting in extensive defects. Many... |
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SubjectTerms | Abdominal Wall - pathology Abdominal Wall - surgery Aged Buttocks - blood supply Buttocks - surgery Fascia Lata - blood supply Fascia Lata - surgery Humans Male Perineum - pathology Perineum - surgery Reconstructive Surgical Procedures - methods Rectal Neoplasms - surgery Surgical Flaps - blood supply Wounds and Injuries - etiology Wounds and Injuries - surgery |
Title | The inferior gluteal artery myocutaneous flap with vascularized fascia lata to reconstruct extended abdominoperineal defects |
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