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Perineal reconstruction using an inferior gluteal artery perforator flap after abdominoperineal resection.

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العنوان: Perineal reconstruction using an inferior gluteal artery perforator flap after abdominoperineal resection.
المؤلفون: Nico Albano M; Cirurgia E, Centro Hospitalar de Coimbra, Coimbra, Portugal., Louro JM; Cirurgia, Hospital Nélio Mendonça, Funchal, Portugal., Brito I; Cirurgia Plástica, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal., Ramos S; Cirurgia Plástica, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.
المصدر: BMJ case reports [BMJ Case Rep] 2019 Sep 19; Vol. 12 (9). Date of Electronic Publication: 2019 Sep 19.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Perforator Flap* , Proctectomy* , Plastic Surgery Procedures*, Arteries/surgery ; Buttocks/surgery ; Female ; Humans ; Middle Aged ; Perineum/surgery ; Postoperative Complications ; Surgical Wound/complications
مستخلص: The abdominoperineal resection is a surgical procedure which implies the removal of rectum, anal canal and the creation of a terminal colostomy. The most frequent complications of this type of surgery are haemorrhage, surgical wound complications, persistent perineal sinus and perineal hernia. Intraoperative haemorrhage or contamination and neoadjuvant radiotherapy are risk factors for the development of perineal complications. Perineal wound infection, with subsequent healing delay, has multifactorial aetiology and its incidence can reach up to 66% according to literature. The prevention of these complications requires adequate surgical technique to avoid or minimise the known risk factors. The treatment of a perineal wound complication depends on the clinical and radiographic findings. When there is no wound resolution in 6 months, it is considered a persistent sinus and treatment will probably require a flap. Several options of surgical treatment are available however, there are no randomised studies to determine which one is the best.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: gastrointestinal surgery; plastic and reconstructive surgery
تواريخ الأحداث: Date Created: 20190921 Date Completed: 20200224 Latest Revision: 20221207
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6754658
DOI: 10.1136/bcr-2018-228613
PMID: 31537601
قاعدة البيانات: MEDLINE
الوصف
تدمد:1757-790X
DOI:10.1136/bcr-2018-228613