TY - JOUR
T1 - Combined use of a petal flap and V–Y advancement flap for reconstruction of presacral defects following rectal resection
AU - Westra, I.
AU - Huisinga, R. L.
AU - Dunker, M. S.
AU - Lapid, O.
AU - van Oosterom, F. J. T.
AU - Wever, N.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Background: The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V–Y advancement flap for closure of the superficial donor site defect. Methods: A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction. Results: Twelve patients were included, all reconstructions healed well. Three patients had a grade I or II complication (Clavien Dindo classification). Conclusions: Use of a petal flap and V–Y advancement flap for reconstruction of presacral defects was found to be safe and simple, and should, therefore, be considered in the management of such problems.
AB - Background: The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V–Y advancement flap for closure of the superficial donor site defect. Methods: A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction. Results: Twelve patients were included, all reconstructions healed well. Three patients had a grade I or II complication (Clavien Dindo classification). Conclusions: Use of a petal flap and V–Y advancement flap for reconstruction of presacral defects was found to be safe and simple, and should, therefore, be considered in the management of such problems.
KW - APR
KW - Fasciocutaneous flap
KW - Lotus petal flap
KW - Reconstruction abdominoperineal resection
KW - Reconstruction pre-sacral defect
UR - http://www.scopus.com/inward/record.url?scp=85083314557&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s10151-020-02204-x
DO - https://doi.org/10.1007/s10151-020-02204-x
M3 - Article
C2 - 32285228
SN - 1123-6337
VL - 24
SP - 593
EP - 597
JO - Techniques in coloproctology
JF - Techniques in coloproctology
IS - 6
ER -