V-Y Advancement Posterior Thigh Fasciocutaneous Flaps for Total Anal Canal and Large Perianal Defects

Terashi, Hiroto; Shibata, Okihiko; Yamamoto, Akifumi; Kudo, Yohei; Tadokoro, Taketsugu; Kurata, Sotaro; Takayasu, Susumu

doi:10.1097/00000637-199609000-00019

Cited by 11 publications

(5 citation statements)

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“…The concept of PAP flap including skin paddle in posteromedial thigh had been described as either a posterior thigh flap or an adductor magnus perforator flap in the literature and transferred in different fashions, such as advancement flap , transposition flap , island pedicle flap, and free flap . The posterior thigh region is loosely defined as a region bordered by the inferior gluteal fold superiorly, the iliotibial tract laterally, the thigh adductors medially, and the popliteal fossa inferiorly.…”

Section: Discussionmentioning

confidence: 99%

The versatility of profunda femoral artery perforator flap for oncological reconstruction after cancer resection—Clinical cases and review of literature

Ito

Huang

et al. 2016

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 99%

The versatility of profunda femoral artery perforator flap for oncological reconstruction after cancer resection—Clinical cases and review of literature

Ito

Huang

et al. 2016

Journal of Surgical Oncology

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“…Como generalmente resultan defectos que no son susceptibles de cierre directo, dentro de las alternativas para reconstruir los defectos resultantes, se encuentran principalmente los colgajos locales y regionales como colgajos musculocutáneos glúteos, fasciocutáneos de muslo y glúteos [12][13][14][15] , teniendo en cuenta que los defectos suelen ser amplios y de gran espesor por lo que el uso de autoinjertos produciría un resultado fi nal menos satisfactorio (Figuras 2, 3, 4).…”

Section: Discussionunclassified

Enfermedad de Paget perianal

et al. 2010

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Extra mammary Paget disease. Report of one caseExtra mammary Paget disease is rare and mostly affects perianal and vulvar zones, in patients of both sexes and from the sixth decade of life. We report a 66 years old woman with a vulvar Paget disease, subjected to a vulvectomy. Two years later, a pruriginous and erythematous plaque appeared in the perianal region. The pathological study informed an extra mammary Paget disease. The patient was subjected to a perianal excision and the correction of the surgical defect in a second intervention. After one year of follow up, there is no evidence of disease relapse.Key words: Extra mammary Paget disease, vulva, perianal region. ResumenLa enfermedad de Paget de localización extramamaria (EPEM) es una patología infrecuente que afecta preferentemente a zonas perianal y vulvar en pacientes de ambos sexos y desde la sexta década de vida. Presentamos un caso clínico tratado en conjunto por los Servicios de Cirugía General, Cirugía Plástica, Ginecología y Anatomía Patológica del Hospital Universitario de Getafe.Palabras clave: Enfermedad de Paget perianal, colgajos regionales, colgajos locales. CASOS CLÍNICOS IntroducciónLa enfermedad de Paget debe su nombre a James Paget 1 quien publicó una serie de casos de localización mamaria. La primera ubicación extramamaria conocida fue en el escroto. En general la ubicación extramamaria más frecuente es la vulva, siendo la perianal más rara.A diferencia de la enfermedad de Paget de la mama, que siempre está asociada a carcinoma intraductal, en la región perianal puede o no estar asociada a carcinoma subyacente. Debemos considerar además que en un alto porcentaje de casos puede haber asociación con otros tumores de localización tubo ováricos y colorrectales.Aunque las alternativas terapéuticas publicadas pueden ser variadas, la extirpación amplia suele ser lo más recomendado, generando defectos que deben ser reconstruidos mediante colgajos locales o regionales principalmente.

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“…In these cases, techniques commonly used to reconstruct defects secondary to urogynecologic or rectal cancers may be employed if a full thickness resection is required. Primary closure is difficult due to the limited mobility of the surrounding tissues unlike certain areas of the abdominal wall, but at times a fasciocutaneous V-Y advancement of the posterior thighs or the lateral gluteus maximus may be employed for perianal, sacral, or ischial lesions (49,50). The elevated tissue may also be de-epithelialized and buried subcutaneously to eradicate potential dead space and provide a multi-layered closure (Figures 10,11).…”

Section: Vascularized Tissue Transfer Techniquesmentioning

confidence: 99%

Incisions and reconstruction approaches for large sarcomas

Spera

Danforth

Hadad

2018

Transl. Gastroenterol. Hepatol

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Large intraabdominal, retroperitoneal, and abdominal wall sarcomas provide unique challenges in treatment due to their variable histology, potential considerable size at the time of diagnosis, and the ability to invade into critical structures. Historically, some of these tumors were considered inoperable if surgical access was limited or the consequential defect was unable to be closed primarily as reconstructive options were limited. Over time, there has been a greater understanding of the abdominal wall anatomy and mechanics, which has resulted in the development of new techniques to allow for sound oncologic resections and viable, durable options for abdominal wall reconstruction. Currently, intra-operative positioning and employment of a variety of abdominal and posterior trunk incisions have made more intraabdominal and retroperitoneal tumors accessible. Primary involvement or direct invasion of tumor into the abdominal wall is no longer prohibitive as utilization of advanced hernia repair techniques along with the application of vascularized tissue transfer have been shown to have the ability to repair large area defects involving multiple quadrants of the abdominal wall. Both local and distant free tissue transfer may be incorporated, depending on the size and location of the area needing reconstruction and what residual structures are remaining surrounding the resection bed. There is an emphasis on selecting the techniques that will be associated with the least amount of morbidity yet will restore and provide the appropriate structure and function necessary for the trunk. This review article summarizes both initial surgical incisional planning for the oncologic resection and a variety of repair options for the abdominal wall spanning the reconstructive ladder.

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V-Y Advancement Posterior Thigh Fasciocutaneous Flaps for Total Anal Canal and Large Perianal Defects

Cited by 11 publications

References 0 publications

The versatility of profunda femoral artery perforator flap for oncological reconstruction after cancer resection—Clinical cases and review of literature

The versatility of profunda femoral artery perforator flap for oncological reconstruction after cancer resection—Clinical cases and review of literature

Enfermedad de Paget perianal

Incisions and reconstruction approaches for large sarcomas

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