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Nugroho, Adianto, Kinanthi, Elisabet, Triatmoko, Sara, Jamtani, Indah. (1401). The Use of Inferior Gluteus Perforator (IGAP) Flap Reconstruction for Vaginal Metastasis of Rectal Cancer: A Case Report. سامانه مدیریت نشریات علمی, 11(1), 42-45. doi: 10.30476/acrr.2023.97169.1163
Adianto Nugroho; Elisabet Kinanthi; Sara Triatmoko; Indah Jamtani. "The Use of Inferior Gluteus Perforator (IGAP) Flap Reconstruction for Vaginal Metastasis of Rectal Cancer: A Case Report". سامانه مدیریت نشریات علمی, 11, 1, 1401, 42-45. doi: 10.30476/acrr.2023.97169.1163
Nugroho, Adianto, Kinanthi, Elisabet, Triatmoko, Sara, Jamtani, Indah. (1401). 'The Use of Inferior Gluteus Perforator (IGAP) Flap Reconstruction for Vaginal Metastasis of Rectal Cancer: A Case Report', سامانه مدیریت نشریات علمی, 11(1), pp. 42-45. doi: 10.30476/acrr.2023.97169.1163
Nugroho, Adianto, Kinanthi, Elisabet, Triatmoko, Sara, Jamtani, Indah. The Use of Inferior Gluteus Perforator (IGAP) Flap Reconstruction for Vaginal Metastasis of Rectal Cancer: A Case Report. سامانه مدیریت نشریات علمی, 1401; 11(1): 42-45. doi: 10.30476/acrr.2023.97169.1163

The Use of Inferior Gluteus Perforator (IGAP) Flap Reconstruction for Vaginal Metastasis of Rectal Cancer: A Case Report

Iranian Journal of Colorectal Research
مقاله 6، دوره 11، شماره 1، خرداد 2023، صفحه 42-45    اصل مقاله (1.55 M)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.30476/acrr.2023.97169.1163
نویسندگان
Adianto Nugroho* 1؛ Elisabet Kinanthi2؛ Sara Triatmoko3؛ Indah Jamtani1
1Digestive Surgery Division, Department of Surgery, Fatmawati Central General Hospital, Jakarta, Indonesia
2Department of Surgery, Fatmawati Central General Hospital, Jakarta, Indonesia
3Plastic Surgery Division, Department of Surgery, Fatmawati Central General Hospital, Jakarta, Indonesia
چکیده
Introduction: Colorectal adenocarcinoma metastasis to the vagina can occur months after the primary tumor resection. Most of the time, bleeding is the main alarming symptom. The optimal treatment involves surgical excision followed by reconstruction to prevent the lymphatic networks in the rectovaginal septum from serving as a potential route of spread. Several successful vaginal reconstruction options have been reported. 
Case Presentation: We describe a 32-year-old woman who had previously undergone an abdominoperineal resection for rectal cancer and was now suffering from rectal adenocarcinoma vaginal metastasis. An inferior gluteus perforator flap (IGAP) repair was carried out following posterior vaginectomy after a comprehensive multidisciplinary examination. This flap can address perineal dead space and reconstruct the neovaginal area, eliminating the need for a second flap and significantly reducing donor morbidity. The lesson from this case is that vaginal metastases can still develop even after removing the primary colorectal tumor. 
Conclusion: One-step surgical excision and perineal repair can result in an enhanced quality of life and a good prognosis.
کلیدواژه‌ها
Colorectal Neoplasms؛ Vagina؛ Perforator Flap
مراجع
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