Perineal and vaginal wall reconstruction using a combined inferior gluteal and pudendal artery perforator flap: a case report

Volker J Schmidt, Raymund E Horch, Adrian Dragu, Klaus Weber, Jonas Göhl, Grit Mehlhorn, Ulrich Kneser

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review

    Abstrakt

    Reliable perineal and posterior vaginal wall restoration following extensive abdominoperineal excision or pelvic exenteration is a reconstructive challenge, especially if the rectus abdominis is unavailable or insufficient for transpelvic transposition. In this short report, we present a novel combined perforator-based technique, in which an inferior gluteal perforator flap is used for perineal reconstruction whereas vaginal reconstruction is performed simultaneously by means of a pudendal artery perforator flap. This procedure circumvents functional muscle loss, permits a tension-free closure of difficult three-dimensional defects and offers a high degree of reconstructive flexibility, which allows a straightforward and independent reconstruction of two different anatomical units.

    OriginalsprogEngelsk
    Sider (fra-til)1734-7
    Antal sider4
    TidsskriftJournal of Plastic, Reconstructive and Aesthetic Surgery
    Vol/bind65
    Udgave nummer12
    DOI
    StatusUdgivet - dec. 2012

    Bibliografisk note

    Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

    Fingeraftryk

    Udforsk hvilke forskningsemner 'Perineal and vaginal wall reconstruction using a combined inferior gluteal and pudendal artery perforator flap: a case report' indeholder.

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