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Comparison of the Complications in Vertical Rectus Abdominis Musculocutaneous Flap with Non-Reconstructed Cases after Pelvic Exenteration
- Source :
- Archives of Plastic Surgery, Archives of Plastic Surgery, Vol 41, Iss 6, Pp 722-727 (2014)
- Publication Year :
- 2014
- Publisher :
- The Korean Society of Plastic and Reconstructive Surgeons, 2014.
-
Abstract
- Background Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes following pelvic exenteration between cases with and without a VRAM flap. In this study, we aimed to compare the complications and the outcomes following pelvic exenteration with or without VRAM flap coverage. Methods We retrospectively reviewed the cases of nine patients for whom transpelvic VRAM flaps were created following pelvic exenteration due to pelvic malignancy. The complications and outcomes in these patients were compared with those of another nine patients who did not undergo such reconstruction. Results Flap reconstruction was successful in eight cases, with minor complications such as wound infection and dehiscence. In all cases in the reconstructed group (n=9), structural integrity was maintained and major complications including bowel obstruction and infection were prevented by obliterating the pelvic dead space. In contrast, in the control group (n=9), peritonitis and bowel obstruction occurred in 1 case (11%). Conclusions Despite the possibility of flap failure and minor complications, a VRAM flap can result in adequate perineal reconstruction to prevent major complications of pelvic exenteration.
- Subjects :
- medicine.medical_specialty
Pelvic exenteration
business.industry
medicine.medical_treatment
lcsh:Surgery
Peritonitis
Retrospective cohort study
lcsh:RD1-811
Dehiscence
medicine.disease
Wound infection
Surgery
Bowel obstruction
Plastic surgery
Rectus abdominis
medicine
Original Article
Major complication
business
Musculocutaneous flap
Subjects
Details
- Language :
- English
- ISSN :
- 22346171 and 22346163
- Volume :
- 41
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Archives of Plastic Surgery
- Accession number :
- edsair.doi.dedup.....c4beff5db61cb734948e476e145e93f2