Use of local flaps for primary anal reconstruction following perianal resection for neoplasia

• Published in: Gynecologic oncology Vol. 36; no. 3; pp. 348 - 352
• Main Authors: Hoffman, Mitchel S., LaPolla, James P., Roberts, William S., Fiorica, James V., Cavanagh, Denis
• Format: Journal Article
• Language: English
• Published: San Diego, CA Elsevier Inc 01.03.1990; Elsevier
• Subjects: Adult; Aged; Anal Canal - surgery; Biological and medical sciences; Carcinoma in Situ - surgery; Carcinoma, Squamous Cell - surgery; Fecal Incontinence - prevention & control; Female; Humans; Medical sciences; Middle Aged; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Vulvar Neoplasms - surgery; Human; Plasty; Treatment; Anus; Surgery; Female; Anal incontinence; Flap surgery; Anatomical reconstruction; Technique
• ISSN: 0090-8258; 1095-6859
• DOI: 10.1016/0090-8258(90)90140-G

Perianal resection for neoplasia is associated with a significant risk for subsequent fecal incontinence. This report describes primary reconstruction of the anus using local skin flaps in nine patients who had undergone resection of perianal tissue for neoplasia. Seven patients had invasive cancer, and two patients had carcinoma in situ with a preoperative suspicion of invasive cancer. In all nine patients a portion of the external anal sphincter was excised during surgery. Bilateral rhomboid flaps were used in five patients, and four patients had advancement of local full-thickness skin flaps. All nine patients had a satisfactory anatomic result and were ultimately fecally continent.