The partial gluteus maximus musculocutaneous turnover flap. An alternative concept for simultaneous reconstruction of combined defects of the posterior perineum/sacrum and the posterior vaginal wall
| Autor: | C. Can Cedidi, F. Kallinowski, A. Petracic, Günther Germann, C. Herrfarth |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Rectum Perineum Surgical Flaps medicine.nerve Femoral nerve medicine.artery Inferior gluteal artery medicine Humans Muscle Skeletal Aged Pelvic exenteration Rectal Neoplasms Sacrococcygeal Region business.industry Soft tissue Skin Transplantation Anatomy Middle Aged Plastic Surgery Procedures Sacrum Surgery body regions medicine.anatomical_structure Otorhinolaryngology Amputation Vagina Inferior gluteal nerve Female business |
| Zdroj: | British Journal of Plastic Surgery. 51:620-623 |
| ISSN: | 0007-1226 |
| DOI: | 10.1054/bjps.1998.0124 |
| Popis: | Three cases with posterior perineo-sacral defects are presented. One is a 57-year-old white female following amputation of her rectum for carcinoma, radiation and chemotherapy with a significant residual sacral/perineal defect and loss of the posterior vaginal wall. The two other patients had radical pelvic exenteration after recurrent rectum carcinoma. A new myocutaneous turnover flap as a modification of the conventional gluteus maximus flap was designed to solve the particular reconstructive problems. The flap is based on branches of the inferior gluteal artery. The posterior cutaneous femoral nerve and the motor branches of the inferior gluteal nerve not leading into the muscle portion of the flap are left intact. The skin island can be used for vaginal reconstruction or can be de-epithelialised to fill perineal cavities. This new flap eventually enabled the successful reconstruction of the posterior vaginal wall and appropriate sacral/perineal soft tissue coverage in the first case. In the other patients the flap was used to achieve closure of the deep through-and-through defect acutely in one case, and after a 3-week interval in the other. |
| Databáze: | OpenAIRE |
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