Combined use of a petal flap and V-Y advancement flap for reconstruction of presacral defects following rectal resection
| Autor: | I. Westra, N. Wever, M. S. Dunker, O. Lapid, R. L. Huisinga, F. J. T. van Oosterom |
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| Přispěvatelé: | Academic Medical Center, ACS - Diabetes & metabolism |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Combined use Perineum Surgical Flaps V-y advancement 03 medical and health sciences 0302 clinical medicine Reconstruction abdominoperineal resection medicine Humans Rectal resection Fasciocutaneous flap Retrospective Studies Proctectomy Abdominoperineal resection business.industry Gastroenterology Plastic Surgery Procedures Colorectal surgery Surgery Reconstruction pre-sacral defect 030220 oncology & carcinogenesis Lotus petal flap 030211 gastroenterology & hepatology business APR Abdominal surgery |
| Zdroj: | Techniques in coloproctology, 24(6), 593-597. Springer-Verlag Italia |
| ISSN: | 1128-045X 1123-6337 |
| Popis: | Background: The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V–Y advancement flap for closure of the superficial donor site defect. Methods: A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction. Results: Twelve patients were included, all reconstructions healed well. Three patients had a grade I or II complication (Clavien Dindo classification). Conclusions: Use of a petal flap and V–Y advancement flap for reconstruction of presacral defects was found to be safe and simple, and should, therefore, be considered in the management of such problems. |
| Databáze: | OpenAIRE |
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