Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps
Background Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. Methods Fourteen patients...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2016-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.5.446 |
| _version_ | 1798041727369478144 |
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| author | Ki Wook Sung Won Jai Lee In Sik Yun Dong Won Lee |
| author_facet | Ki Wook Sung Won Jai Lee In Sik Yun Dong Won Lee |
| author_sort | Ki Wook Sung |
| collection | DOAJ |
| description | Background Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation.
Methods Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >100 cm2 in the perineal area were included in this retrospective cohort study. Characteristics of the perforator flap operation and postoperative outcomes were reviewed.
Results Reconstruction was performed using 2 perforator flaps for 13 patients and 3 perforator flaps for 1 patient. Internal pudendal artery perforator flaps were mainly used for covering the defects. The average defect size was 176.3±61.8 cm2 and the average size of each flap was 95.7±31.9 cm2. Six patients had minor complications, such as wound dehiscence and partial necrosis of the flap margin, which were corrected with simple revision procedures.
Conclusions Multiple perforator flaps can be used to achieve successful reconstructions of large perineal defects that are difficult to reconstruct with other coverage methods. |
| first_indexed | 2024-04-11T22:25:33Z |
| format | Article |
| id | doaj.art-6e28e4489637416fb88947bfd31935c6 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T22:25:33Z |
| publishDate | 2016-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-6e28e4489637416fb88947bfd31935c62022-12-22T03:59:45ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712016-09-01430544645010.5999/aps.2016.43.5.446712Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator FlapsKi Wook Sung0Won Jai Lee1In Sik Yun2Dong Won Lee3Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaInstitute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaInstitute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaInstitute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, KoreaBackground Perineal defects are commonly encountered during the treatment of conditions such as malignancy, infectious disease, and trauma. Covering large defects in the perineal area is challenging due to its complicated anatomy and the need for functional preservation. Methods Fourteen patients who underwent reconstructive surgery with multiple perforator flaps for defects >100 cm2 in the perineal area were included in this retrospective cohort study. Characteristics of the perforator flap operation and postoperative outcomes were reviewed. Results Reconstruction was performed using 2 perforator flaps for 13 patients and 3 perforator flaps for 1 patient. Internal pudendal artery perforator flaps were mainly used for covering the defects. The average defect size was 176.3±61.8 cm2 and the average size of each flap was 95.7±31.9 cm2. Six patients had minor complications, such as wound dehiscence and partial necrosis of the flap margin, which were corrected with simple revision procedures. Conclusions Multiple perforator flaps can be used to achieve successful reconstructions of large perineal defects that are difficult to reconstruct with other coverage methods.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.5.446reconstructive surgical proceduresperforator flapperineum |
| spellingShingle | Ki Wook Sung Won Jai Lee In Sik Yun Dong Won Lee Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps Archives of Plastic Surgery reconstructive surgical procedures perforator flap perineum |
| title | Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps |
| title_full | Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps |
| title_fullStr | Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps |
| title_full_unstemmed | Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps |
| title_short | Reconstruction of Large Defects in the Perineal Area Using Multiple Perforator Flaps |
| title_sort | reconstruction of large defects in the perineal area using multiple perforator flaps |
| topic | reconstructive surgical procedures perforator flap perineum |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.5.446 |
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