Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report.

Hdl Handle:
http://hdl.handle.net/10147/267892
Title:
Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report.
Authors:
Kieran, I; Nugent, N; Riordain, M Ó; Kelly, J
Affiliation:
Plastic and Reconstructive Surgery Department, Cork University Hospital, Wilton, Cork, Ireland. ingridkieran@yahoo.com
Citation:
Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report. 2012, 94 (8):e254-6 Ann R Coll Surg Engl
Journal:
Annals of the Royal College of Surgeons of England
Issue Date:
Nov-2012
URI:
http://hdl.handle.net/10147/267892
DOI:
10.1308/003588412X13373405387537
PubMed ID:
23131218
Abstract:
Reconstruction of the perineum and pelvic cavity in continuity is an uncommon and difficult challenge. This case describes a 66-year-old man who presented following recurrence of a Dukes' B rectosigmoid adenocarcinoma that had been treated nine years previously by anterior resection, 5-fluorouracil and radiotherapy. His recurrent disease was treated with radical pelvic exenteration with formation of an end colostomy and urinary ileal conduit. A post-operative pelvic collection necessitated incisional drainage via the perineum. This resulted in a perineal defect in continuity with the pelvic cavity, neither of which healed in spite of alternate day packing with antiseptic dressings. The perineum and cavity were reconstructed successfully with a microvascular transfer of the latissimus dorsi using the primary gracilis pedicle as recipient donor vessels.
Item Type:
Article
Language:
en
MeSH:
Adenocarcinoma; Aged; Female; Free Tissue Flaps; Humans; Male; Neoplasm Recurrence, Local; Pelvic Exenteration; Pelvis; Perineum; Rectal Neoplasms; Sigmoid Neoplasms
ISSN:
1478-7083

Full metadata record

DC FieldValue Language
dc.contributor.authorKieran, Ien_GB
dc.contributor.authorNugent, Nen_GB
dc.contributor.authorRiordain, M Óen_GB
dc.contributor.authorKelly, Jen_GB
dc.date.accessioned2013-01-31T14:47:19Z-
dc.date.available2013-01-31T14:47:19Z-
dc.date.issued2012-11-
dc.identifier.citationReconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report. 2012, 94 (8):e254-6 Ann R Coll Surg Englen_GB
dc.identifier.issn1478-7083-
dc.identifier.pmid23131218-
dc.identifier.doi10.1308/003588412X13373405387537-
dc.identifier.urihttp://hdl.handle.net/10147/267892-
dc.description.abstractReconstruction of the perineum and pelvic cavity in continuity is an uncommon and difficult challenge. This case describes a 66-year-old man who presented following recurrence of a Dukes' B rectosigmoid adenocarcinoma that had been treated nine years previously by anterior resection, 5-fluorouracil and radiotherapy. His recurrent disease was treated with radical pelvic exenteration with formation of an end colostomy and urinary ileal conduit. A post-operative pelvic collection necessitated incisional drainage via the perineum. This resulted in a perineal defect in continuity with the pelvic cavity, neither of which healed in spite of alternate day packing with antiseptic dressings. The perineum and cavity were reconstructed successfully with a microvascular transfer of the latissimus dorsi using the primary gracilis pedicle as recipient donor vessels.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Annals of the Royal College of Surgeons of Englanden_GB
dc.subject.meshAdenocarcinoma-
dc.subject.meshAged-
dc.subject.meshFemale-
dc.subject.meshFree Tissue Flaps-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshNeoplasm Recurrence, Local-
dc.subject.meshPelvic Exenteration-
dc.subject.meshPelvis-
dc.subject.meshPerineum-
dc.subject.meshRectal Neoplasms-
dc.subject.meshSigmoid Neoplasms-
dc.titleReconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report.en_GB
dc.typeArticleen
dc.contributor.departmentPlastic and Reconstructive Surgery Department, Cork University Hospital, Wilton, Cork, Ireland. ingridkieran@yahoo.comen_GB
dc.identifier.journalAnnals of the Royal College of Surgeons of Englanden_GB
dc.description.provinceMunsteren
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