WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
10
1
online
1
fulltext
en
Perineal Turn over Perforator Flap: A Novel Surgical Technique for Combined Perineal and Posterior Vaginal Wall Reconstruction
تخصصي
Special
مقالات اصيل
Original Article
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 addi-tion to the obliteration of the large perineal dead space, a need to reduce donor site, and perineal wound morbidity. Previously described fasciocu-taneous 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 com-bined ELAPE and posterior vaginectomy for anal squamous cell carcino-ma. This complex defect was reconstructed using an extended version of the Perineal Turn-Over (PTO) flap based on the Internal Pudendal artery perforator.
Extralevator abdominoperineal excision, Fasciocutaneous, Internal puden-dal artery, Perineum, Surgical reconstructive procedure surgery.
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http://wjps.ir/browse.php?a_code=A-10-466-16&slc_lang=en&sid=1
Francisco
S. Moura
Francisco.serraemoura@nhs.net
100319475328460010014
100319475328460010014
Yes
Department of Plastic Surgery - Royal Preston Hospital, Preston, UK
Maria
Chasapi
100319475328460010015
100319475328460010015
No
Department of Plastic Surgery - Royal Preston Hospital, Preston, UK
Peter
Mitchell
100319475328460010016
100319475328460010016
No
Department of Colorectal Surgery - Royal Preston Hospital, Preston, UK
Milind
D. Dalal
100319475328460010017
100319475328460010017
No
Department of Plastic Surgery - Royal Preston Hospital, Preston, UK