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dc.contributor.authorAli, Sayid
dc.contributor.authorMoftah, Mohamed
dc.contributor.authorAjmal, Nadeem
dc.contributor.authorCahill, Ronan A
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.
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
html.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.


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