2017
DOI: 10.1097/dcr.0000000000000875
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Abstract: Multiple previously described advantages associated with internal pudendal artery perforator flap were also observed here, reinforcing the idea that it is reliable, versatile, and a useful option for perineal reconstruction after abdominoperineal excision of the rectum. Therefore, we propose that this flap could be considered as the first choice for perineal reconstruction in selected patients with moderate and some large defects after abdominoperineal excision of the rectum. See Video Abstract at http://links… Show more

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Cited by 12 publications
(8 citation statements)
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“…Notably, other recognized perineal perforated flaps as internal pudendal artery perforator flaps are used; however, they were more suitable for small to moderate perineal defects 31,32 . In addition, their reliability has been questioned because they have been directly situated in the zone of the radiotherapy field when used for perineal reconstruction after oncological resection 11 . Compared with conventional V-Y flaps, the IGAP flaps provide extensive skin mobilization to cover large defects.…”
Section: Discussionmentioning
confidence: 99%
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“…Notably, other recognized perineal perforated flaps as internal pudendal artery perforator flaps are used; however, they were more suitable for small to moderate perineal defects 31,32 . In addition, their reliability has been questioned because they have been directly situated in the zone of the radiotherapy field when used for perineal reconstruction after oncological resection 11 . Compared with conventional V-Y flaps, the IGAP flaps provide extensive skin mobilization to cover large defects.…”
Section: Discussionmentioning
confidence: 99%
“…31,32 In addition, their reliability has been questioned because they have been directly situated in the zone of the radiotherapy field when used for perineal reconstruction after oncological resection. 11 Compared with conventional V-Y flaps, the IGAP flaps provide extensive skin mobilization to cover large defects. Arnold et al 16 reported no flap failure with the V-Y advancement perforator flaps bilaterally, similar to the outcome in this study.…”
Section: Discussionmentioning
confidence: 99%
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“…There is currently no consensus in the literature on the ideal technique for perineal reconstruction with a plethora of techniques being utilised 2,3,4 . It has been demonstrated that the perineal region is reliably nourished by the internal pudendal artery (IPA) and several clinical uses of flaps based on the IPA have been described 5,6,7 . However, to the best of our knowledge, there are no descriptions of turnover flaps based specifically over the IPA perforators which do not require perforator dissection or pre-operative doppler localisation.…”
mentioning
confidence: 99%