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

Die Therapie der Analfistel – Wahl zwischen Skylla und Charybdis

2013 ◽  
Vol 70 (7) ◽  
pp. 383-391 ◽  
Author(s):  
Lukas Marti ◽  
Christina Kruse ◽  
Marcel Zadnikar ◽  
Christine Maurus ◽  
Chan-Hi Kim ◽  
...  
Keyword(s):  
Chirurgische Therapie ◽  
Advancement Flap ◽  
Fistula Plug

Die Analfistel, die zunächst meist als akuter Abszess symptomatisch wird, ist die chronische Form derselben Krankheit. Die Fistel äußert sich durch persistierende Sekretion neben dem After und kann die Lebensqualität der Patienten durch langwierige Verläufe massiv einschränken. Die chirurgische Therapie zielt darauf ab, die Erkrankung bleibend ohne Rezidiv zu heilen, ohne dabei die Kontinenz zu schädigen. Dies sind zwei sich teilweise entgegenlaufende Forderungen, weswegen je nach Fistel verschiedene Operationen zum Einsatz kommen. Distale, einfache Fisteln werden gespalten, jedoch darf, um die Kontinenz nicht zu gefährden, nicht zu viel Schließmuskel geopfert werden. Höher gelegene, komplexe Fisteln werden meist mit Entfernung der gesamten Fistel und nachfolgender Schließmuskelnaht (Advancement Flap oder primäre Sphinkterrekonstruktion) behandelt. Neuere Techniken wie z. B. der Fistula Plug, haben eine deutlich höhere Rezidivrate, schonen anderseits die Kontinenz noch mehr und sind deshalb eine Alternative für speziell geeignete Patienten.

Prediktive Faktoren und Follow-up nach plastischem Verschluss von Analfisteln d. Advancement-Flap

2016 ◽  
Vol 54 (08) ◽  
Author(s):  
L Bönicke ◽  
P Ambe ◽  
H Zirngibl ◽  
E Karsten
Keyword(s):  
Advancement Flap

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

The Use of the V-Y Fasciocutaneous Island Advancement Flap in Reconstructing Postsurgical Defects of the Leg

2001 ◽  
Vol 27 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Mario Dini ◽  
Alessandro Innocenti ◽  
Giulia Lo Russo ◽  
Vittorugo Agostini
Keyword(s):  
Advancement Flap

Surgical correction of severe congenital ptosis using a modified frontalis muscle advancement technique: A single-arm trial

2021 ◽  
pp. 112067212199575
Author(s):  
Lei Zhang ◽  
Mingyu Ren ◽  
Yuqing Yan ◽  
Wenjuan Zhai ◽  
Lihong Yang ◽  
...  
Keyword(s):  
Success Rate ◽  
Advancement Flap ◽  
Orbicularis Muscle ◽  
Congenital Ptosis ◽  
Inferior Margin ◽  
Field Of Vision ◽  
Vertical Incision ◽  
Registration Number ◽  
The Mean

Purpose: To describe our experience with a modified frontal muscle advancement flap to treat patients with severe congenital ptosis. Methods: Analysis of the clinical charts of 154 patients who underwent a modified frontal muscle advancement flap. The FM was exposed by a crease incision. The FM flap was created by deep dissection between the orbicularis muscle and orbital septum from the skin crease incision to the supraorbital margin and subcutaneous dissection from the inferior margin of the eyebrow to 0.5 cm above the eyebrow. No vertical incision was made on the FM flap to ensure an intact flap wide enough to cover the entire upper tarsal plate. Contour, symmetry of height, marginal reflex distance (MRD1), and complications were assessed. Mean follow-up was 10 months. Results: The mean patient age was 7.6 ± 5.6 (range, 2–18) years. The mean MRD1 was 3.2 ± 1.3 mm after the operation. All bilateral cases achieved symmetry and optimal lid contour; 17 unilateral cases were under corrected, with a success rate of 89.0%. Complications such as entropion, exposure keratitis, FM paralysis, frontal hypoesthesia, severe haematoma, and entropion were not observed in our series. Conclusion: A modified frontal muscle advancement flap produced a high success rate with a clear field of vision, mild trauma, and few complications. This technique is relatively simple and should be considered for correcting severe congenital ptosis. Date of registration: 29-03-2020 Trial registration number: ChiCTR2000031364 Registration site: http://www.chictr.org/

Rectal advancement flap for complex anal fistula—a video vignette

2021 ◽  
Author(s):  
Natalia Uribe ◽  
Zutoia Balciscueta ◽  
M. Carmen Martín ◽  
Janine Tabet ◽  
Manuel López
Keyword(s):  
Anal Fistula ◽  
Advancement Flap ◽  
Rectal Advancement Flap ◽  
Complex Anal Fistula ◽  
Video Vignette

scholarly journals Management of peno-scrotal wound defects in a tertiary hospital in North-Western Nigeria: a 20-year retrospective review

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Abubakar Sadiq Muhammad ◽  
Ngwobia Peter Agwu ◽  
Abdullahi Abduwahab-Ahmed ◽  
Ahmed Mohammed Umar ◽  
Muhammad Ujudud Musa ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Graft Loss ◽  
External Genitalia ◽  
Tertiary Hospital ◽  
Advancement Flap ◽  
Fournier’S Gangrene ◽  
Fournier's Gangrene ◽  
Direct Closure ◽  
Secondary Intention ◽  
North Western

Abstract Background Fournier’s gangrene and trauma to the external genitalia are the commonest causes of peno-scrotal wound defects in our environment. The management of these patients includes initial resuscitation and subsequent wound care with or without wound cover. The aim of this study is to document our experience in the management of peno-scrotal defects in a tertiary hospital of North-Western Nigeria. Methods This is a 20-year retrospective study of patients managed for peno-scrotal wound defects by the Urology Unit in the Department of Surgery of our hospital from January 2001 to December 2019. Data were collected from the patients’ case notes and entered into a proforma. Data were analysed using SPSS version 25.0. Results A total number of 54 patients with peno-scrotal wound defects were managed within the study period with the mean age of 46.27 ± 22.09 years and a range of six weeks to 107 years. The wound defects were sequelae of Fournier’s gangrene in 42 patients (77.8%) and traumatic in 12 patients (22.2%). Healing by secondary intention was achieved in 20 patients (37.0%). Direct closure was done in 17 patients (31.5%), skin graft in nine patients (16.7%), and advancement flap in eight patients (14.8%) depending on the location and size of the defects. Fourteen patients (26.0%) developed surgical site infection ± wound dehiscence and partial graft loss. The complication rate was higher in post-Fournier’s gangrene wound defects, but without statistical significance (p = 0.018). Conclusion Fournier’s gangrene and trauma to the external genitalia are the commonest causes of peno-scrotal wound defects in our environment. Smaller wound defects were healed by secondary intention, while larger defects required either direct closure or the use of advancement flap or skin grafting depending on the location and size of the wound. The study reported a higher post-repair complication in patients that had Fournier’s gangrene.

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