پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,187 |
| تعداد مقالات | 10,824 |
| تعداد مشاهده مقاله | 72,827,198 |
| تعداد دریافت فایل اصل مقاله | 12,907,548 |
A Surgical Solution for Wound Management in a Large Perineal Defect Covered by Vertical Rectus Abdominis Myocutaneous Flap after Abdominoperineal Resection; A Case Report | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 5، دوره 12، شماره 1، خرداد 2024، صفحه 23-26 اصل مقاله (1.44 M) | ||
| نوع مقاله: Case Report | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2024.101709.1205 | ||
| نویسندگان | ||
| Seyed Reza Mousavi1؛ Hamed Ebrahimibagha2؛ Adel Zeinalpour* 2 | ||
| 1Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| 2Department of General Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| چکیده | ||
| The management of extensive perineal defects resulting from aggressive tumor resections, such as abdominoperineal resections for advanced pelvic malignancies, can be a complex and demanding process during treatment. The primary options for reconstructing perineal defects are vertical rectus abdominis myocutaneous (VRAM) and anterolateral thigh (ALT) flaps. While both flaps are commonly used in reconstructive surgery, VRAM is often preferred due to several advantages. These include the ability to provide ample tissue to fill large perineal defects, as well as the convenience of harvesting this type of flap through a midline incision. This approach allows for a more cosmetically favorable scar location compared to other techniques. Overall, VRAM is a superior choice for perineal reconstruction due to its versatility and effectiveness in addressing complex defects. In this article, we describe our experience with utilizing a VRAM flap to close a 20×10 cm perineal defect that arose after an abdominoperineal resection performed due to extensive rectal melanoma in a 46-year-old man. We found that the vertical VRAM flap was an exceptional choice for covering this substantial defect in our patient. | ||
| کلیدواژه‌ها | ||
| perineal defect؛ vertical rectus abdominis myocutaneous flap؛ reconstructive surgery | ||
| مراجع | ||
|
1. Zeinalpour A, Taleghani M, Rostami T, Ebrahimibagha H. Factors affecting 5-year mortality of colon cancer in a single center . Iranian Journal of Colorectal Research. 2023;11(4):-. 2. Copeland-Halperin LR, Stewart T, Chen Y, Funderburk CD, Freed GL. Perineal reconstruction following abdominoperineal resection: Comprehensive review of the literature. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2020;73(11):1924-32. 3. Radwan RW, Tang AM, Harries RL, Davies EG, Drew P, Evans MD. Vertical rectus abdominis flap (VRAM) for perineal reconstruction following pelvic surgery: a systematic review. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2021;74(3):523-9. 4. Weichman KE, Matros E, Disa JJ. Reconstruction of peripelvic oncologic defects. Plastic and reconstructive surgery. 2017;140(4):601e-12e. 5. Guarner F, Malagelada J-R. Gut flora in health and disease. The lancet. 2003;361(9356):512-9. 6. Radwan RW, Tang AM, Harries RL, Davies EG, Drew P, Evans MD. Vertical rectus abdominis flap (VRAM) for perineal reconstruction following pelvic surgery: A systematic review. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2021;74(3):523-9. 7. Holmström H. The free abdominoplasty flap and its use in breast reconstruction: An experimental study and clinical case report. Scandinavian journal of plastic and reconstructive surgery. 1979;13(3):423-7. 8. Hartrampf C, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plastic and reconstructive surgery. 1982;69(2):216-24. 9. Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. British journal of plastic surgery. 1989;42(6):645-8. 10. Faur IF, Clim A, Dobrescu A. VRAM Flap for Pelvic Floor Reconstruction after Pelvic Exenteration and Abdominoperineal Excision. 2023;13(12). 11. Campbell CA, Butler CE. Use of adjuvant techniques improves surgical outcomes of complex vertical rectus abdominis myocutaneous flap reconstructions of pelvic cancer defects. Plastic and reconstructive surgery. 2011;128(2):447-58. 12. Nelson RA, Butler CE. Surgical outcomes of VRAM versus thigh flaps for immediate reconstruction of pelvic and perineal cancer resection defects. Plastic and reconstructive surgery. 2009;123(1):175-83. 13. Casey III WJ, Tran NV, Petty PM, Stulak JM, Woods JE. A comparison of 99 consecutive vaginal reconstructions: an outcome study. Annals of plastic surgery. 2004;52(1):27-30. 14. Nigriny JF, Wu P, Butler CE. Perineal reconstruction with an extrapelvic vertical rectus abdominis myocutaneous flap. International Journal of Gynecological Cancer. 2010;20(9):1609-12. 15. Tobin GR, Day TG. Vaginal and pelvic reconstruction with distally based rectus abdominis myocutaneous flaps. Plastic and reconstructive surgery. 1988;81(1):62-70. 16. Butler CE, Gündeslioglu AÖ, Rodriguez-Bigas MA. Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects. Journal of the American College of Surgeons. 2008;206(4):694-703. | ||
|
آمار تعداد مشاهده مقاله: 113 تعداد دریافت فایل اصل مقاله: 180 |
||