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

May the rectus abdominis myocutaneous flap be the best option for the reconstruction of complicated large defects of pelvic exenteration for vulvar malignancies after pelvic radiation?

Open Medicine ◽  
2010 ◽  
Vol 5 (2) ◽  
pp. 189-193
Author(s):  
Ates Karateke ◽  
Cetin Cam ◽  
Cem Celik ◽  
Bahar Baykal ◽  
Ozgur Tosun
Keyword(s):  
Pelvic Exenteration ◽  
Myocutaneous Flap ◽  
Perineal Wound ◽  
Rectus Abdominis ◽  
Wound Complications ◽  
Pelvic Radiation ◽  
Perineal Wound Healing ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Flap Procedure ◽  
Perineal Wound Complications

AbstractReconstruction of the large defects that develop after pelvic exenteration with local flaps may result in higher morbidity because of poor perineal wound healing after pelvic radiation. A well vascularised reconstructive flap originating from distant non-irradiated areas is needed. We report two cases of pelvic exenteration and rectus abdominis myocutaneous flap procedure in patients with recurrent vulvar malignancies that had undergone external beam pelvic radiation and subsequently developed pelvic fibrosis, necrosis and fistulas. Both flaps were totally viable postoperatively; the abdominal wound healed without any complication, no perineal wound complications developed with a follow-up of nine months. In conclusions, rectus abdominis myocutaneous flap reconstruction seems to be an ideal option for the large defects resulting from exenteration operations in patients with previous perineal radiation.

Perineal reconstruction using pedicled vertical rectus abdominis myocutaneous flap (VRAM)

2014 ◽  
Vol 110 (6) ◽  
pp. 752-757 ◽  
Author(s):  
Ahmed Touny ◽  
Haitham Othman ◽  
Sherif Maamoon ◽  
Samy Ramzy ◽  
Hamdy Elmarakby
Keyword(s):  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Perineal Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Vertical Rectus Abdominis Myocutaneous

scholarly journals Reconstruction of Pelvic Exenteration Defects Using the Combined Method With Extended Vertical Rectus Abdominus Flap and Vacuum-Assisted Suction Drainage

2020 ◽  
Vol 104 (3-4) ◽  
pp. 138-142
Author(s):  
Rie Iwasaki ◽  
Hisashi Motomura ◽  
Takaharu Hatano ◽  
Daisuke Sakahara ◽  
Naho Fujii
Keyword(s):  
Postoperative Complications ◽  
Dead Space ◽  
Pelvic Exenteration ◽  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Combined Method ◽  
Vacuum Suction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Additional Surgery ◽  
The Dead

Introduction: Pelvic exenteration is a highly invasive procedure, with a reported rate of 20%–80% for serious complications. Thus, the prevention of postoperative complications is a major issue. Many previous reports have emphasized the importance of filling the dead space to prevent postoperative complications. In addition to filling the dead space, we believe that achieving sufficient drainage is extremely important. In this paper, we present a new combined method of the extended rectus abdominis myocutaneous flap and vacuum drainage with multiple drains, which achieved a lower frequency of complications. Case Presentation: The subjects were 6 patients who underwent reconstruction following pelvic exenteration during a 7-year period between April 2005 and September 2013. We retrospectively measured the volume of the pelvic cavity and that of the rectus abdominis flap on lateral computed tomography (CT) scans to calculate the percentage of the dead space that was filled by the flap. There were no problems with flap engraftment in any of the patients. There were no serious complications, and no patient required additional surgery. The percentage of the dead space filled ranged from 25% to 46% (mean: 32%). Conclusion: The rectus flap + vacuum drainage method, which uses an extended rectus abdominis myocutaneous flap to decrease the pelvic dead space and multiple vacuum suction drains, was associated with the prevention of serious complications.

Limb-Salvage in Reconstruction of Recalcitrant Pressure Sores Using the Inferiorly Based Rectus Abdominis Myocutaneous Flap

1998 ◽  
Vol 102 (1) ◽  
pp. 111-116 ◽  
Author(s):  
Philip C. Kierney ◽  
Diana D. Cardenas ◽  
Loren H. Engrav ◽  
John H. Grant ◽  
Richard P. Rand
Keyword(s):  
Limb Salvage ◽  
Myocutaneous Flap ◽  
Rectus Abdominis ◽  
Pressure Sores ◽  
Rectus Abdominis Myocutaneous Flap
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