Excision and V–Y plasty reconstruction for giant condyloma acuminatum
| Autor: | Francisco Asencio, Natalia Uribe, José G. Flores, Mónica Millán, J. Ruiz Del Castillo, F. Díaz |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Surgical Flaps Lesion Immunocompromised Host Humans Medicine Giant condyloma acuminatum business.industry Fulguration Gastroenterology Middle Aged Plastic Surgery Procedures Pectinate line Anal canal medicine.disease Colorectal surgery Surgery Treatment Outcome medicine.anatomical_structure Condylomata Acuminata Female medicine.symptom business Abdominal surgery |
| Zdroj: | Techniques in Coloproctology. 8:99-101 |
| ISSN: | 1128-045X 1123-6337 |
| Popis: | Condyloma acuminata is the most common anorectal lesion in patients infected with human immunodeficiency virus (HIV). Surgical treatment can be challenging in cases where the size and extension into the anal canal make individual excision impossible. These patients require large resections and reconstruction using grafts or local flaps. Six patients were treated for giant perianal condylomas between 1999 and 2001. Four patients were HIV–positive, and were selected for surgical intervention after achieving a T4 count >350 and low viral replication. In 5 cases, the lesions were circularly resected up to the pectinate line and the defect was reconstructed using a bilateral V–Y plasty. In the remaining case, fulguration was possible on one side and a unilateral V–Y plasty was performed. There were no infections or healing delays in this series, and the functional and aesthetic results are satisfactory. V–Y plasties are a valid method for perianal reconstruction after resection of giant anal condyloma, with good results in selected patients with HIV infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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