Vaginal reconstruction with rectus abdominis myocutaneous flap: CT findings
| Autor: | S J Willing, G R Tobin, S R Koch, S H Pursell |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
medicine.medical_specialty Vaginal reconstruction medicine.medical_treatment Surgical Flaps Abdominal wall medicine Humans Radiology Nuclear Medicine and imaging Ct findings Surgery Plastic Abdominal Muscles Aged Aged 80 and over Pelvic exenteration business.industry Soft tissue General Medicine Middle Aged Sacrum Pelvic Exenteration Surgery medicine.anatomical_structure Vagina Linea alba (abdomen) Female Tomography X-Ray Computed business |
| Zdroj: | American Journal of Roentgenology. 156:1001-1004 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.156.5.1826803 |
| Popis: | The distally based rectus abdominis myocutaneous flap is used in a new technique for vaginal reconstruction after pelvic exenteration for malignant disease. We identified 27 patients who underwent this procedure, of whom eight had a total of 14 postoperative CT scans and two CT-directed biopsies. The myocutaneous flap appeared as a unilateral arcuate band of soft tissue extending from the linea alba to the rectal fascia or sacrum. Additional CT findings included asymmetric thinning of the ventral abdominal wall (7/8), fluid collections (2/8), vaginal breakdown (1/8), presacral soft-tissue thickening (6/8), and tumor recurrence (3/8). The postoperative CT scan reflects the altered anatomy produced by the surgery. Complications and recurrent disease can be recognized as deviations from the normal postoperative appearance. |
| Databáze: | OpenAIRE |
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