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논문 기본 정보

자료유형
학술저널
저자정보
Jeon, Heechang (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) Yoon, Eul Sik (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) You, Hi-Jin (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) Kim, Hyon-Surk (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) Lee, Byung-Il (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine) Park, Seung Ha (Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호
발행연도
2014.1
수록면
722 - 727 (6page)

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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.
#Pelvic exenteration #Rectus abdominis #Musculocutaneous flap

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참고문헌 (12)

참고문헌 신청
Clavien PA / 2009 / The Clavien-Dindo classification of surgical complications: five-year experience / Ann Surg 2009:187~196 google schola Slankamenac K / 2013 / The comprehensive complication index: a novel continuous scale to measure surgical morbidity / Ann Surg 258 google schola Soper JT / 1989 / Pelvic exenteration: factors associated with major surgical morbidity / Gynecol Oncol 35:93~98 google schola Orr JW Jr / 1983 / Gastrointestinal complications associated with pelvic exenteration / Am J Obstet Gynecol 145:325~332 google schola Jain AK / 1997 / Reconstruction of pelvic exenterative wounds with transpelvic rectus abdominis flaps: a case series / Ann Plast Surg 38:115~122 google schola

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