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Perineal Turn over Perforator Flap: A Novel Surgical Technique for Combined Perineal and Posterior Vaginal Wall Reconstruction
- Source :
- World Journal of Plastic Surgery
- Publication Year :
- 2021
- Publisher :
- Iranian Society for Plastic Surgeons, 2021.
-
Abstract
- Extralevator Abdominoperineal Excision (ELAPE) and Abdominoperineal Resection create complex perineal defects made more challenging when combined with additional resection of the posterior vaginal wall. This composite defect requires the restoration of a functional vagina, in addition to the obliteration of the large perineal dead space, a need to reduce donor site, and perineal wound morbidity. Previously described fasciocutaneous and myocutaneous flaps for such defects are associated with long operations requiring intra-operative mobilization and are linked to post-operative complications including herniation, evisceration, flap loss, donor site morbidity and poor cosmetic outcome, amongst other issues. Herein we describe the case of a 60-year-old female patient that underwent combined ELAPE and posterior vaginectomy for anal squamous cell carcinoma. This complex defect was reconstructed using an extended version of the Perineal Turn-Over (PTO) flap based on the Internal Pudendal artery perforator.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
Perineum
Vaginal wall
03 medical and health sciences
0302 clinical medicine
medicine.artery
medicine
Internal pudendal artery
Evisceration (ophthalmology)
business.industry
Abdominoperineal resection
Anal Squamous Cell Carcinoma
Extralevator abdominoperineal excision
Vaginectomy
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Vagina
030211 gastroenterology & hepatology
business
Fasciocutaneous
Surgical reconstructive procedure surgery
Subjects
Details
- Language :
- English
- ISSN :
- 22520724 and 22287914
- Volume :
- 10
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- World Journal of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....9daae376e559d245634caf4c8d02d6dc