Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report.
Kieran, I Nugent, N Riordain, M Ó Kelly, J
Kieran, I
Nugent, N
Riordain, M Ó
Kelly, J
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Date
2012-11
Date Submitted
Keywords
Other Subjects
Subject Mesh
Adenocarcinoma
Aged
Female
Free Tissue Flaps
Humans
Male
Neoplasm Recurrence, Local
Pelvic Exenteration
Pelvis
Perineum
Rectal Neoplasms
Sigmoid Neoplasms
Aged
Female
Free Tissue Flaps
Humans
Male
Neoplasm Recurrence, Local
Pelvic Exenteration
Pelvis
Perineum
Rectal Neoplasms
Sigmoid Neoplasms
Planned Date
Start Date
Collaborators
Principal Investigators
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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.
Language
en
ISSN
1478-7083
eISSN
ISBN
DOI
10.1308/003588412X13373405387537
PMID
23131218