A Novel Technique for Reconstruction After Abdominoperineal Resection: V-Y Partially De-epithelized Turnover Flap with Its Own Inherent Mesh-A Three-Case Report

DEREBAŞINLIOĞLU H., Yilmaz S.

INDIAN JOURNAL OF SURGERY, cilt.84, sa.1, ss.195-199, 2022 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 84 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1007/s12262-021-02913-z
  • Dergi Adı: INDIAN JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, Veterinary Science Database
  • Sayfa Sayıları: ss.195-199
  • Anahtar Kelimeler: Abdominoperineal resection, Pelvic base reconstruction, V-Y flap modification
  • Sivas Cumhuriyet Üniversitesi Adresli: Evet

Özet

The main goal in reconstructions of the pelvic base after abdominoperineal resection is to close the defect with a well-vascularized tissue and prevent herniation by providing sufficient perineum support. Neoadjuvant radiotherapy generally leads the surgeon to distant muscle flap options; however, in the absence of radiation history, the use of local flaps is reasonable if they are of sufficient quality. In this article, we present the use of a V-Y partially de-epithelized turnover flap, a modification of the V-Y advancement flap, with perineal repair accomplished through a mesh flap of dermis, eliminating the requirement for a biologic mesh. We think that our modified flap adequately supported the perineal floor by utilizing a well-vascularized dermal mesh flap and provided a tension-free closure by filling up the dead space using a partial turnover maneuver.