A Novel Technique for Reconstruction After Abdominoperineal Resection: V-Y Partially De-epithelized Turnover Flap with Its Own Inherent Mesh-A Three-Case Report
INDIAN JOURNAL OF SURGERY, cilt.84, sa.1, ss.195-199, 2022 (SCI-Expanded)
- 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.