Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report.
Ann R Coll Surg Engl
; 94(8): e254-6, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-23131218
ABSTRACT
Reconstruction of the perineum and pelvic cavity in continuity is an uncommon and difficult challenge. This case describes a 66-year-old man who presented following recurrence of a Dukes' B rectosigmoid adenocarcinoma that had been treated nine years previously by anterior resection, 5-fluorouracil and radiotherapy. His recurrent disease was treated with radical pelvic exenteration with formation of an end colostomy and urinary ileal conduit. A post-operative pelvic collection necessitated incisional drainage via the perineum. This resulted in a perineal defect in continuity with the pelvic cavity, neither of which healed in spite of alternate day packing with antiseptic dressings. The perineum and cavity were reconstructed successfully with a microvascular transfer of the latissimus dorsi using the primary gracilis pedicle as recipient donor vessels.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exenteração Pélvica
/
Neoplasias Retais
/
Neoplasias do Colo Sigmoide
/
Adenocarcinoma
/
Retalhos de Tecido Biológico
/
Recidiva Local de Neoplasia
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article