Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect.

Hdl Handle:
http://hdl.handle.net/10147/264503
Title:
Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect.
Authors:
Ali, Sayid; Moftah, Mohamed; Ajmal, Nadeem; Cahill, Ronan A
Affiliation:
Department of Plastic and Colorectal Surgery, Beaumont Hospital, Dublin, Ireland.
Citation:
Single port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect. 2012, 64 (3):217-21 Updates Surg
Journal:
Updates in surgery
Issue Date:
Sep-2012
URI:
http://hdl.handle.net/10147/264503
DOI:
10.1007/s13304-012-0158-z
PubMed ID:
22644717
Abstract:
Abdominoperineal resection (APR) of anorectal cancers after neoadjuvant chemoradiotherapy may incur significant perineal morbidity. While vertical rectus abdominis muscle (V-RAM) flaps can fill the pelvic resection space with health tissue, their use has previously been described predominantly in association with laparotomy. Here, we describe a means of combination laparoscopic APR with V-RAM flap reconstruction that allows structural preservation of the entire abdominal wall throughout the oncological resection and of the deep parietal layers after V-RAM donation. Furthermore, a single port access device used at the end colostomy site allows a second senior surgeon assist with an additional two working instruments for the purpose of improved pelvic tissue retraction, especially useful in obese patients.
Item Type:
Article
Language:
en
MeSH:
Colorectal Neoplasms; Equipment Design; Female; Follow-Up Studies; Humans; Laparoscopes; Laparoscopy; Middle Aged; Perineum; Reconstructive Surgical Procedures; Rectus Abdominis; Surgical Flaps; Surgical Wound Dehiscence
ISSN:
2038-131X

Full metadata record

DC FieldValue Language
dc.contributor.authorAli, Sayiden_GB
dc.contributor.authorMoftah, Mohameden_GB
dc.contributor.authorAjmal, Nadeemen_GB
dc.contributor.authorCahill, Ronan Aen_GB
dc.date.accessioned2013-01-08T15:50:16Z-
dc.date.available2013-01-08T15:50:16Z-
dc.date.issued2012-09-
dc.identifier.citationSingle port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect. 2012, 64 (3):217-21 Updates Surgen_GB
dc.identifier.issn2038-131X-
dc.identifier.pmid22644717-
dc.identifier.doi10.1007/s13304-012-0158-z-
dc.identifier.urihttp://hdl.handle.net/10147/264503-
dc.description.abstractAbdominoperineal resection (APR) of anorectal cancers after neoadjuvant chemoradiotherapy may incur significant perineal morbidity. While vertical rectus abdominis muscle (V-RAM) flaps can fill the pelvic resection space with health tissue, their use has previously been described predominantly in association with laparotomy. Here, we describe a means of combination laparoscopic APR with V-RAM flap reconstruction that allows structural preservation of the entire abdominal wall throughout the oncological resection and of the deep parietal layers after V-RAM donation. Furthermore, a single port access device used at the end colostomy site allows a second senior surgeon assist with an additional two working instruments for the purpose of improved pelvic tissue retraction, especially useful in obese patients.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Updates in surgeryen_GB
dc.subject.meshColorectal Neoplasms-
dc.subject.meshEquipment Design-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshLaparoscopes-
dc.subject.meshLaparoscopy-
dc.subject.meshMiddle Aged-
dc.subject.meshPerineum-
dc.subject.meshReconstructive Surgical Procedures-
dc.subject.meshRectus Abdominis-
dc.subject.meshSurgical Flaps-
dc.subject.meshSurgical Wound Dehiscence-
dc.titleSingle port-assisted fully laparoscopic abdominoperineal resection (APR) with immediate V-RAM flap reconstruction of the perineal defect.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic and Colorectal Surgery, Beaumont Hospital, Dublin, Ireland.en_GB
dc.identifier.journalUpdates in surgeryen_GB
dc.description.provinceLeinsteren

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.