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2010 | 5 | 2 | 189-193
Tytuł artykułu

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?

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
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.
Wydawca

Czasopismo
Rocznik
Tom
5
Numer
2
Strony
189-193
Opis fizyczny
Daty
wydano
2010-04-01
online
2010-04-17
Twórcy
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
autor
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
autor
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey, cemcel@yahoo.com
autor
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
autor
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
Bibliografia
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  • [22] Tei T.M., Stolzenburg T., Buntzen S., Laurberg S., Kjeldsen H., Use of transpelvic rectus abdominis musculocutaneous flap for anal cancer salvage surgery, Br. J. Surg., 2003, 90, 575–580 http://dx.doi.org/10.1002/bjs.4073[WoS][Crossref]
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0080-4
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