Perineal Reconstruction with a Diamond-shaped Perforator Flap: A Case Report
| Autor: | Parthena Deskoulidi, Konstantinos M. Benetatos, Spiros Stavrianos, Nikolaos Maltzaris, Pantelis K. Diamantopoulos, Maria Kotrotsiou |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Less invasive lcsh:Surgery A diamond Case Report Pedicled Flap lcsh:RD1-811 030230 surgery Perianal region Surgery 03 medical and health sciences 0302 clinical medicine Anal stenosis 030220 oncology & carcinogenesis Myocutaneous Flaps medicine Surgical excision business Perforator flaps |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 6, Iss 3, p e1697 (2018) Plastic and Reconstructive Surgery Global Open |
| ISSN: | 2169-7574 |
| DOI: | 10.1097/GOX.0000000000001697 |
| Popis: | Summary:. Reconstruction of perineal defects is a challenging procedure. Various surgical techniques have been proposed. Compared with traditional myocutaneous flaps, pedicled perforator flaps are believed to be a less invasive option for perineal reconstruction, with better functional and cosmetic results. We present the case of a 47-year-old woman with a perianal Paget’s disease who underwent surgical excision of the lesion. The reconstructive technique was a pedicled flap based on an internal pudendal skin perforator artery. The flap was designed in a diamond-shaped pattern. Six months after the operation, the patient is disease-free with successful aesthetic and functional results. A polygonal diamond-shaped flap is an easy and reliable choice for perineal reconstruction, offering better adjustment in the perianal region and avoidance of the curvilinear perianal incision (which often leads to anal stenosis). |
| Databáze: | OpenAIRE |
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