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

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