May the rectus abdominis myocutaneous flap be the best option for the reconstruction of complicated large defects of pelvic exenteration for vulvar malignancies after pelvic radiation?

被引：1

作者：

Karateke, Ates ^{[1
]}

Cam, Cetin ^{[1
]}

Celik, Cem ^{[1
]}

Baykal, Bahar ^{[1
]}

Tosun, Ozgur Aydin ^{[1
]}

机构：

[1] Zeynep Kamil Teaching Hosp, Dept Obstet & Gynecol, TR-34590 Istanbul, Turkey

来源：

CENTRAL EUROPEAN JOURNAL OF MEDICINE | 2010年 / 5卷 / 02期

关键词：

Pelvic exenteration; Pelvic reconstruction; Rectus abdominis myocutaneous flap; Vulvar cancer; External beam pelvic radiation; MUSCULOCUTANEOUS VRAM FLAP; VAGINAL RECONSTRUCTION; EXTIRPATION; THERAPY;

D O I：

10.2478/s11536-008-0080-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Reconstruction of the large defects that develop after pelvic exenteration with local flaps may result in higher morbidity because of poor perineal wound healing after pelvic radiation. A well vascularised reconstructive flap originating from distant non-irradiated areas is needed. We report two cases of pelvic exenteration and rectus abdominis myocutaneous flap procedure in patients with recurrent vulvar malignancies that had undergone external beam pelvic radiation and subsequently developed pelvic fibrosis, necrosis and fistulas. Both flaps were totally viable postoperatively; the abdominal wound healed without any complication, no perineal wound complications developed with a follow-up of nine months. In conclusions, rectus abdominis myocutaneous flap reconstruction seems to be an ideal option for the large defects resulting from exenteration operations in patients with previous perineal radiation.

引用

页码：189 / 193

页数：5