Ipsilateral Ileal Conduit Placement at Vertical Rectus Abdominis Myocutaneous Flap Donor Site in Pelvic Exenteration

Abstract

Placing of ileal conduit at the time of pelvic exenteration in combination with a same-side vertical rectus abdominis myocutaneous flap is controversial. We report our experience with the placement of the ileal conduit at the same side as the donor site of the vertical rectus abdominis myocutaneous flap in 12 patients and describe our technical approach.

Pelvic Exenteration for Advanced and Recurrent Malignancy

“…Contrary to previous studies [17,19], we could not identify increased morbidity in relation to urinary deviation procedures, because only two complications had such origin. Moreover, we did not find any disadvantage in placing the urostomy ipsilaterally on the side where the VRAM flap was obtained, which confirms earlier reports [20].…”

A 10‐year experience of total pelvic exenteration for primary advanced and locally recurrent rectal cancer based on a prospective database

“…All of our patients had a Bricker ileal conduit; none received a neobladder, as this procedure is more complex and carries a high risk of impaired function. The urostomy was placed ipsilateral to the VRAM flap donor site [47]. The complications encountered have been reported by others [44,46].…”

Double‐blind randomized controlled trial of collagen mesh for the prevention of abdominal incisional hernia in patients having a vertical rectus abdominis myocutaneus flap during surgery for advanced pelvic malignancy

“…Radical pelvic resection is the preferred treatment for recurrent and locally advanced pelvic organ malignancy [1][2][3][4][5]. The procedure usually includes abdominoperineal excision and pelvic exenteration.…”