Abstract
Background Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes following pelvic exenteration between cases with and without a VRAM flap. In this study, we aimed to compare the complications and the outcomes following pelvic exenteration with or without VRAM flap coverage. Methods We retrospectively reviewed the cases of nine patients for whom transpelvic VRAM flaps were created following pelvic exenteration due to pelvic malignancy. The complications and outcomes in these patients were compared with those of another nine patients who did not undergo such reconstruction. Results Flap reconstruction was successful in eight cases, with minor complications such as wound infection and dehiscence. In all cases in the reconstructed group (n=9), structural integrity was maintained and major complications including bowel obstruction and infection were prevented by obliterating the pelvic dead space. In contrast, in the control group (n=9), peritonitis and bowel obstruction occurred in 1 case (11%). Conclusions Despite the possibility of flap failure and minor complications, a VRAM flap can result in adequate perineal reconstruction to prevent major complications of pelvic exenteration.
| Original language | English |
|---|---|
| Pages (from-to) | 722-727 |
| Number of pages | 6 |
| Journal | Archives of Plastic Surgery |
| Volume | 41 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2014 Nov 1 |
Fingerprint
Keywords
- Musculocutaneous flap
- Pelvic exenteration
- Rectus abdominis
ASJC Scopus subject areas
- Surgery
Cite this
Comparison of the complications in vertical rectus abdominis musculocutaneous flap with non-reconstructed cases after pelvic exenteration. / Jeon, Heechang; Yoon, Eul Sik; You, Hijin; Kim, Hyon Surk; Lee, Byung-Il; Park, Seung Ha.
In: Archives of Plastic Surgery, Vol. 41, No. 6, 01.11.2014, p. 722-727.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Comparison of the complications in vertical rectus abdominis musculocutaneous flap with non-reconstructed cases after pelvic exenteration
AU - Jeon, Heechang
AU - Yoon, Eul Sik
AU - You, Hijin
AU - Kim, Hyon Surk
AU - Lee, Byung-Il
AU - Park, Seung Ha
PY - 2014/11/1
Y1 - 2014/11/1
N2 - Background Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes following pelvic exenteration between cases with and without a VRAM flap. In this study, we aimed to compare the complications and the outcomes following pelvic exenteration with or without VRAM flap coverage. Methods We retrospectively reviewed the cases of nine patients for whom transpelvic VRAM flaps were created following pelvic exenteration due to pelvic malignancy. The complications and outcomes in these patients were compared with those of another nine patients who did not undergo such reconstruction. Results Flap reconstruction was successful in eight cases, with minor complications such as wound infection and dehiscence. In all cases in the reconstructed group (n=9), structural integrity was maintained and major complications including bowel obstruction and infection were prevented by obliterating the pelvic dead space. In contrast, in the control group (n=9), peritonitis and bowel obstruction occurred in 1 case (11%). Conclusions Despite the possibility of flap failure and minor complications, a VRAM flap can result in adequate perineal reconstruction to prevent major complications of pelvic exenteration.
AB - Background Perineal reconstruction following pelvic exenteration is a challenging area in plastic surgery. Its advantages include preventing complications by obliterating the pelvic dead space and minimizing the scar by using the previous abdominal incision and a vertical rectus abdominis musculocutaneous (VRAM) flap. However, only a few studies have compared the complications and the outcomes following pelvic exenteration between cases with and without a VRAM flap. In this study, we aimed to compare the complications and the outcomes following pelvic exenteration with or without VRAM flap coverage. Methods We retrospectively reviewed the cases of nine patients for whom transpelvic VRAM flaps were created following pelvic exenteration due to pelvic malignancy. The complications and outcomes in these patients were compared with those of another nine patients who did not undergo such reconstruction. Results Flap reconstruction was successful in eight cases, with minor complications such as wound infection and dehiscence. In all cases in the reconstructed group (n=9), structural integrity was maintained and major complications including bowel obstruction and infection were prevented by obliterating the pelvic dead space. In contrast, in the control group (n=9), peritonitis and bowel obstruction occurred in 1 case (11%). Conclusions Despite the possibility of flap failure and minor complications, a VRAM flap can result in adequate perineal reconstruction to prevent major complications of pelvic exenteration.
KW - Musculocutaneous flap
KW - Pelvic exenteration
KW - Rectus abdominis
UR - http://www.scopus.com/inward/record.url?scp=84949119907&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949119907&partnerID=8YFLogxK
U2 - 10.5999/aps.2014.41.6.722
DO - 10.5999/aps.2014.41.6.722
M3 - Article
VL - 41
SP - 722
EP - 727
JO - Archives of Plastic Surgery
JF - Archives of Plastic Surgery
SN - 2234-6163
IS - 6
ER -