Perineal and vaginal wall reconstruction using a combined inferior gluteal and pudendal artery perforator flap: a case report
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Perineal and vaginal wall reconstruction using a combined inferior gluteal and pudendal artery perforator flap : a case report. / Schmidt, Volker J; Horch, Raymund E; Dragu, Adrian; Weber, Klaus; Göhl, Jonas; Mehlhorn, Grit; Kneser, Ulrich.
I: Journal of plastic, reconstructive & aesthetic surgery : JPRAS, Bind 65, Nr. 12, 12.2012, s. 1734-7.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Perineal and vaginal wall reconstruction using a combined inferior gluteal and pudendal artery perforator flap
T2 - a case report
AU - Schmidt, Volker J
AU - Horch, Raymund E
AU - Dragu, Adrian
AU - Weber, Klaus
AU - Göhl, Jonas
AU - Mehlhorn, Grit
AU - Kneser, Ulrich
N1 - Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
PY - 2012/12
Y1 - 2012/12
N2 - 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.
AB - 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.
KW - Adenocarcinoma, Mucinous/diagnosis
KW - Adult
KW - Anus Neoplasms/diagnosis
KW - Buttocks/blood supply
KW - Crohn Disease/complications
KW - Female
KW - Humans
KW - Perforator Flap/blood supply
KW - Perineum/surgery
KW - Plastic Surgery Procedures/methods
KW - Vagina/surgery
U2 - 10.1016/j.bjps.2012.04.055
DO - 10.1016/j.bjps.2012.04.055
M3 - Journal article
C2 - 22652285
VL - 65
SP - 1734
EP - 1737
JO - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
SN - 1748-6815
IS - 12
ER -
ID: 329569094