
Journal Basic Info
- Impact Factor: 2.395**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Plastic Surgery
- Cardiovascular Surgery
- Otolaryngology - Head and Neck Surgery
- Vascular Surgery
- Gynecological Surgery
- Transplant Surgery
- General Surgery
- Endocrine Surgery
Abstract
Citation: Clin Surg. 2017;2(1):1780.Case Report | Open Access
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.