The vertical pedicled DIEP flap: An alternative for large perineal reconstructions after tumour excision

被引：3

作者：

Ahmad Z. ^{[1
]}

Sadideen H. ^{[1
]}

Oliver C. ^{[2
]}

Baragwanath P. ^{[3
]}

Das-Gupta R. ^{[1
]}

机构：

[1] Department of Plastic Surgery, University Hospitals Coventry & Warwickshire, Clifford Bridge Road, Coventry, Warwickshire

[2] Department of Interventional Radiology and Diagnostics, University Hospitals Coventry & Warwickshire, Clifford Bridge Road, Coventry, Warwickshire

[3] Department of Colorectal Surgery, University Hospitals Coventry & Warwickshire, Clifford Bridge Road, Coventry, Warwickshire

来源：

European Journal of Plastic Surgery | 2015年 / 38卷 / 4期

关键词：

DIEP; Flap; Perineal reconstruction; Wound breakdown;

D O I：

10.1007/s00238-015-1065-6

中图分类号：

学科分类号：

摘要：

Traditionally, the vertical rectus abdominis muscle (VRAM) flap has been used as a robust and effective locoregional reconstruction for perineal defects. We present a unique approach using a vertical skin paddle pedicled deep inferior epigastric artery perforator (DIEP) flap for the management of large perineal defects following colorectal tumour excision. As a colorectal and plastic surgery tertiary referral centre, over the last 5 years, we have developed a vast experience in reconstructing these defects in collaboration with our general surgical colleagues in the multidisciplinary setting. Our main reconstructions consisted of pedicled VRAM flaps, although we have used other local and free flap options when and as required. We have since moved towards this improved technique of the pedicled DIEP flap reconstruction and present our initial experience, highlighting its main advantages, particularly over the VRAM flap. Level of Evidence: Level V, therapeutic study. © Springer-Verlag Berlin Heidelberg 2015.

引用

页码：331 / 334

页数：3

共 12 条

[1]

Miles W.E., A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon, Lancet, 2, pp. 1812-1813, (1908)

[2]

Butler C.E., Rodriguez-Bigas M., Editorial: Pelvic reconstruction after abdominoperineal resection: Is it worthwhile?, Ann Surg Oncol, 12, 2, pp. 91-94, (2004)

[3]

Khoo A.K.M., Skibber J.M., Nabawi A.S., Et al., Indications for immediate tissue transfer for soft tissue reconstruction in visceral pelvic surgery, Surgery, 130, pp. 463-469, (2001)

[4]

Carramaschi F., Ramos M.L., Nisida A.C., Et al., V-Y flap for perineal reconstruction following modified approach to vulvectomy in vulvar cancer, Int J Gynaecol Obstet, 65, 2, pp. 157-163, (1999)

[5]

Luo S., Raffoul W., Piaget F., Egloff D.V., Anterolateral thigh fasciocutaneous flap in the difficult perineogenital reconstruction, Plast Reconstr Surg, 105, 1, pp. 171-173, (2000)

[6]

Maruyama Y., Nakajima H., One-stage reconstruction of a massive buttock and sacroperineal defect with multiple myocutaneous flaps, Br J Plast Surg, 36, 1, pp. 116-198, (1983)

[7]

Bullard K.M., Trudel J.L., Baxter N.N., Rothenberger D.A., Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failure, Dis Colon Rectum, 48, pp. 438-443, (2005)

[8]

Chessin D.B., Hartley J., Cohen A.M., Et al., Rectus flap reconstruction decreases perineal wound complications following pelvic chemoradiation and surgery: A cohort study, Ann Surg Oncol, (2012)

[9]

Pocard M., Tiret E., Nugent K., Et al., Results of salvage abdominoperineal resection for anal cancer after radiotherapy, Dis Colon Rectum, 41, pp. 1488-1493, (1998)

[10]

McCraw J.B., Massey F.M., Skanklin K.D., Horton C.E., Vaginal reconstruction with gracilis myocutaneous flaps, Plast Reconstr Surg, 58, pp. 176-183, (1976)

← 1 2 →