"Free-Floating Anus": A Flap-Free Approach for Definitive Excision of Circumferential Giant Condyloma Acuminata.
| Autor: | Luo WY; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Hoang V; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Varvoglis DN; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Comer LH; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Guillem JG; Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The American surgeon [Am Surg] 2023 Dec; Vol. 89 (12), pp. 6389-6392. Date of Electronic Publication: 2023 Sep 07. |
| DOI: | 10.1177/00031348231199173 |
| Abstrakt: | Giant condyloma acuminata (GCA), or Buschke-Löwenstein tumor, is a rare exophytic cauliflower-like growth in the anogenital region. The spectrum of treatment options is wide, ranging from the application of topical ointments to the performance of an abdominoperineal resection. Currently, wide local excision is the most common approach and may entail the creation of a protective loop ileostomy or implementation of flaps or grafts that facilitate closure. We describe a unique surgical approach for the management of circumferential GCA void of the use a protective loop ileostomy, flaps, or grafts. Our report highlights that the implementation of a radical, circumferential, wide excision resulting in "free-floating anus" and healing via secondary intention can ultimately lead to excellent functional and cosmetic results and therefore may be considered a minimally invasive surgical option for patients afflicted with a large, circumferential GCA. Competing Interests: Declaration of Conflicting InterestsThe author declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr. Guillem had a role as a Consultant for Intuitive Surgical, Inc. |
| Databáze: | MEDLINE |
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