Soft Tissue Reconstruction of the Perineum: Perforator Flaps for Perineal Reconstructions

Author(s):  
Niri S. Niranjan
Microsurgery ◽  
2019 ◽  
Vol 40 (3) ◽  
pp. 353-360
Author(s):  
Shimpei Miyamoto ◽  
Masaki Arikawa ◽  
Yu Kagaya

2016 ◽  
Vol 2 (8) ◽  
Author(s):  
Kenji Kawamura ◽  
Hiroshi Yajima ◽  
Shohei Omokawa ◽  
Takamasa Shimizu ◽  
Naoki Maegawa ◽  
...  

<p> </p><p><span style="font-family: Times New Roman;"> The development of a concept of perforator flap has dramatically changed the soft tissue reconstructive surgery. The surgery with perforator flaps enables to minimize donor-site morbidity by preserving important tissues including the muscle and the major vessel. The peroneal artery perforator flap is one of perforator flaps that can be harvested from the lower leg. The peroneal artery perforator flap has been widely used as a local flap for soft tissue reconstruction in the lower extremity; however, the free peroneal artery perforator flap transfer has been little reported. Utilities of the free peroneal artery perforator flap for soft tissue reconstruction of the extremities are reported, and minimally invasive flap surgery with perforator flaps is reviewed.</span></p><p> </p>


2009 ◽  
Vol 41 (06) ◽  
pp. 315-321 ◽  
Author(s):  
M. Innocenti ◽  
C. Baldrighi ◽  
L. Delcroix ◽  
R. Adani

2006 ◽  
Vol 34 ◽  
pp. 43-44
Author(s):  
J. Masia ◽  
X. Leon ◽  
J. Sancho ◽  
M. Quer ◽  
A. Arno ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Jochen-Frederick Hernekamp ◽  
Nico Leibig ◽  
Tomke Cordts ◽  
Thomas Kremer ◽  
Ulrich Kneser

2015 ◽  
Vol 28 (4) ◽  
pp. 226-229 ◽  
Author(s):  
Beniamino Brunetti ◽  
Stefano Campa ◽  
Stefania Tenna ◽  
Tiziano Pallara ◽  
Paolo Persichetti

Microsurgery ◽  
2020 ◽  
Vol 40 (7) ◽  
pp. 829-830
Author(s):  
Gabriele Giunta ◽  
Ben De Brucker ◽  
Moustapha Hamdi

2021 ◽  
pp. 1-6
Author(s):  
Rafael Jakubietz ◽  
Michael Jakubietz ◽  
Adrian Vater ◽  
Arkadius Kocot ◽  
Hubert Kübler ◽  
...  

<b><i>Background:</i></b> Complex soft tissue defects involving the lower abdomen, perineum, and groin (LAPG) represent reconstructive challenges following urologic surgery. Consequently, these often require an interdisciplinary approach involving plastic surgery. While pedicled flaps from the lower abdomen are a reliable option, previous placement of colostomies and urinary urostomies renders these flap types unavailable. Here, the pedicled anterolateral thigh perforator (ALT) flap represents a reliable pedicled alternative which can harvest from the thigh. <b><i>Materials and Methods:</i></b> A retrospective data analysis of pedicled perforator flaps harvested from the thigh to reconstruct soft tissue defects was conducted. Seven patients treated in the urology department with soft tissue defects following tumor resection, infection, and dehiscence were included. <b><i>Results:</i></b> In all patients, the ALT flap was utilized successfully to reconstruct soft tissue defects up to 450 cm<sup>2</sup> in size. All flaps survived. In 1 case, prolonged wound healing was observed. All defects were adequately addressed with no recurrence of dehiscence or fistula formation. <b><i>Conclusions:</i></b> Pedicled perforator flaps represent a valid option for the soft tissue reconstruction of the lower abdomen and perineum when a pedicled rectus abdominis flap is no longer available. This flap is, therefore, a good option in an interdisciplinary approach to soft tissue reconstruction, especially following urologic surgery, which is predominantly performed in the LAPG region.


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