Perineal Reconstruction for a Complex Perineal Defect

2022 ◽  
pp. 1-9
Author(s):  
Aileen Egan ◽  
Eamon Francis ◽  
Colin Morrison
Keyword(s):  
Perineal Reconstruction ◽  
Perineal Defect

Wound care in patients with perineal reconstruction

2019 ◽  
Vol 17 (Sup9) ◽  
pp. S44-S52
Author(s):  
Nuria Martin ◽  
Claire Taylor ◽  
Nadine Hachach-Haram ◽  
Therese Hona
Keyword(s):  
Wound Healing ◽  
Donor Site ◽  
Locally Advanced ◽  
Rectal Surgery ◽  
Wound Management ◽  
Perineal Reconstruction ◽  
Stoma Formation ◽  
Persistent Perineal Sinus ◽  
Perineal Defect ◽  
Artery Perforator

Nurses play an essential role in monitoring and managing wounds after any surgery. This article focuses on how to optimise perineal wound healing after an extra-levator abdominoperineal excision of the rectum (ELAPE) or a pelvic exenteration for locally advanced rectal cancer. After radical rectal surgery, a perineal defect may be created that requires perineal reconstruction to fill the remaining cavity. Reconstruction of these defects is essential to restore form and function and reduce patient morbidity. A range of reconstructive options are available for perineal reconstruction. This includes inferior or superior gluteal artery perforator (IGAP/SGAP) flaps, which are fasciocutaneous flaps that provide robust, well-vascularised tissue to fill the perineal defect in a V-Y configuration while significantly reducing donor-site morbidity. The inferior gluteal artery perforator (IGAP) is most suitable when stoma formation is being considered. Possible complications after flap reconstruction include wound infection, abscess, flap necrosis, full-thickness dehiscence, bone exposure, delayed healing and persistent perineal sinus. Prevention is key to wound management; this encompasses regular monitoring, careful positioning and use of pressure-relieving equipment until the flap tissue is well perfused and healing well. Negative-pressure wound therapy is a therapeutic technique that uses a vacuum dressing to promote wound healing and enhance the formation of healthy granulation tissue and it can be useful to promote the healing of surgical wounds. Good nursing care is vital in optimising wound healing.

Perineal Reconstructive Surgery of a Cloaca-Like Perineal Defect: A Case Report

2009 ◽  
Vol 25 (6) ◽  
pp. 437
Author(s):  
Hae Il Jung ◽  
Sang Ho Bae ◽  
Moo Jun Baek ◽  
Chang Ho Kim ◽  
Hyung Sik Ahn
Keyword(s):  
Case Report ◽  
Reconstructive Surgery ◽  
Perineal Defect

V-Y advancement flap to correct a perineal defect after an episiotomy dehiscence

2021 ◽  
Author(s):  
Philomène Lenoir ◽  
Marine Lallemant ◽  
Marie Vilchez ◽  
Rajeev Ramanah
Keyword(s):  
Advancement Flap ◽  
Perineal Defect

scholarly journals Perineal reconstruction with pedicled rectus abdominis myocutaneous flap after posterior pelvic exenteration –A 3D model study

2021 ◽  
Vol 80 ◽  
pp. 105629
Author(s):  
Daiki Kitano ◽  
Takeo Osaki ◽  
Shunsuke Sakakibara ◽  
Tadashi Nomura ◽  
Kazunobu Hashikawa ◽  
...  
Keyword(s):  
3D Model ◽  
Pelvic Exenteration ◽  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Perineal Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Model Study

The Utility of the Posterior Thigh Flap for Complex Pelvic and Perineal Reconstruction

2010 ◽  
Vol 126 (1) ◽  
pp. 146-155 ◽  
Author(s):  
Jeffrey D. Friedman ◽  
Gregory R. Reece ◽  
Liron Eldor
Keyword(s):  
Perineal Reconstruction ◽  
Posterior Thigh

Oncological and Functional Outcomes of Pelvic Perineal Reconstruction by Perineal Colostomy and Malone Procedure after Abdominoperineal Resection

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anthony Marinho ◽  
Nicolas Zalay ◽  
Léonor Chaltiel ◽  
Sylvain Kirzin ◽  
Antoine Philis ◽  
...  
Keyword(s):  
Abdominoperineal Resection ◽  
Functional Outcomes ◽  
Perineal Reconstruction ◽  
Perineal Colostomy

scholarly journals Biologic meshes in perineal reconstruction following extra-levator abdominoperineal excision (elAPE)

2012 ◽  
Vol 14 ◽  
pp. 12-18 ◽  
Author(s):  
M. J. Marshall ◽  
N. J. Smart ◽  
I. R. Daniels
Keyword(s):  
Abdominoperineal Excision ◽  
Perineal Reconstruction

scholarly journals Abstract 32. Increased Incidence of Symptomatic Deep Venous Thrombosis Following Lower Extremity Flap Harvest for Abdominal and Perineal Reconstruction

2017 ◽  
Vol 5 ◽  
pp. 38
Author(s):  
Justin M. Broyles ◽  
Gurjot S. Walia ◽  
Ricardo Bello ◽  
Hannah M. Carl ◽  
Rachel A. Pedriera ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Perineal Reconstruction
Sign in / Sign up

Export Citation Format

Share Document