Perineal reconstruction with pedicled rectus abdominis myocutaneous flap after posterior pelvic exenteration –A 3D model study

Kitano, Daiki; Osaki, Takeo; Sakakibara, Shunsuke; Nomura, Tadashi; Hashikawa, Kazunobu; Terashi, Hiroto

doi:10.1016/j.ijscr.2021.02.015

Cited by 2 publications

(2 citation statements)

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“…Radiological assessment of the empty pelvis with image evaluation after reconstruction would also be more reproducible. This has been shown by Kitano et al [39], who generated 3D models from CT imaging showing the positional relationship between the MCF and the residual contents of the abdomen and pelvis. The application of this technology would be useful for other pelvic 'fillers', particularly those that are often too small (e.g.…”

Section: Discussionmentioning

confidence: 69%

Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

et al. 2021

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Pelvic exenteration (PE) is a radical procedure involving the resection of multiple pelvic viscera for primary and recurrent pelvic malignancies. The median 5-year overall survival for those with locally advanced and locally recurrent rectal cancers undergoing PE has been reported at 38% and 28%, respectively [1,2], and for gynaecological cancers it is 40% [3]. In the case of colorectal cancer, this compares with a 5-year survival of <5% without resection [4].

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Section: Discussionmentioning

confidence: 69%

Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

et al. 2021

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“…In the literature, three‐dimensional imaging has also been used to consolidate the mental model. Three‐dimensional printing has been used for the prosthesis in bony reconstruction following pelvic exenteration with high sacrectomy [13], and three‐dimensional imaging has a role in analysing soft tissue reconstruction in postoperative follow‐up CT [14]. There may be a role for three‐dimensional modelling and reconstruction in surgical planning.…”

Section: Discussionmentioning

confidence: 99%

Human factors in pelvic exenteration: themes in high‐performing teams

Pal,

Chittleborough,

McCombie

et al. 2023

Colorectal Disease

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AimThe aim of this study was to investigate the role of human factors in pelvic exenteration and how team performance is optimized in the preoperative, intraoperative and postoperative phases.MethodQualitative analysis of focus groups was used to capture authentic human interactions that reflect real‐world multiprofessional performance. Theatre teams were treated as clusters, with a particular focus group containing participants who worked together regularly.ResultsThree focus groups were conducted. Four themes emerged – driving force, technical skills, nontechnical skills and operational aspects – with a total of 16 subthemes. Saturation was reached by group 2, with no new subthemes emerging after this. There was some interaction between the themes and the subthemes. Broadly speaking, driving force led to the development of specialised technical skills and nontechnical skills, which were operationalized into successful service through operational aspects.ConclusionThis study of teams performing pelvic exenteration is the first in the field using this methodology. It has generated rich qualitative data with authentic insights into the pragmatic aspects of developing and delivering a service. In addition, it shows how the themes are connected or ‘coupled’ in a network, for example technical and non‐technical skills. In a complex system, ‘tight coupling’ leads to both high performance and adverse events. In this paper, we report the qualitative aspects of high performance by pelvic exenteration teams in a complex sociotechnical system, which depends on tight coupling of several themes.

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Perineal reconstruction with pedicled rectus abdominis myocutaneous flap after posterior pelvic exenteration –A 3D model study

Cited by 2 publications

References 7 publications

Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications

Human factors in pelvic exenteration: themes in high‐performing teams

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