Unsuccessfull Perineal Reconstruction with Myocutaneous V-Y Advancement Flap after Extralevator Abdominoperineal Excision for Low Rectal Cancer

Gurel Nessar, Ahmet Nurettin Cengiz, Hasan Cem Misirlioglu and Ali Eba Demirbag

Department of Gastroenterology Surgery, Yuksek Ihtisas Hospital, Turkey
Department of Radiation Oncology, Ankara Oncology Hospital, Turkey

^*Correspondance to: Gurel Nessar 

 PDF  Full Text DOI: 10.25107/2474-1647.1780

Abstract

Extralevator abdominoperineal excision of the rectum was introduced with the aim of improving the oncological outcome of low rectal cancer. The technique includes resection of the levator muscles from their origins on the pelvic side walls and their en bloc removal along with the mesorectum, which results in a larger perineal defect than is seen after conventional surgery. For reconstruction of large perineal defects, pedicled muscle flaps are recommended but the procedure is technically challenging and plastic surgery consultation is necessary. Local flap techniques such as a gluteus maximus myocutaneous V-Y advancement flap are an easier option. In this case report, wound failure following a local flap repair of a perineal defect is presented.

Keywords

Rectal cancer; Extralevator abdominoperineal excision; Gluteus maximus myocutaneous V-Y advancement flap

Cite the article

Nessar G, Cengiz AN, Misirlioglu HC, Demirbag AE. Unsuccessfull Perineal Reconstruction with Myocutaneous V-Y Advancement Flap after Extralevator Abdominoperineal Excision for Low Rectal Cancer. Clin Surg. 2017; 2: 1780.