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Journal
2010 | 5 | 2 | 189-193
Article title

May the rectus abdominis myocutaneous flap be the best option for the reconstruction of complicated large defects of pelvic exenteration for vulvar malignancies after pelvic radiation?

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Languages of publication
EN
Abstracts
EN
Reconstruction of the large defects that develop after pelvic exenteration with local flaps may result in higher morbidity because of poor perineal wound healing after pelvic radiation. A well vascularised reconstructive flap originating from distant non-irradiated areas is needed. We report two cases of pelvic exenteration and rectus abdominis myocutaneous flap procedure in patients with recurrent vulvar malignancies that had undergone external beam pelvic radiation and subsequently developed pelvic fibrosis, necrosis and fistulas. Both flaps were totally viable postoperatively; the abdominal wound healed without any complication, no perineal wound complications developed with a follow-up of nine months. In conclusions, rectus abdominis myocutaneous flap reconstruction seems to be an ideal option for the large defects resulting from exenteration operations in patients with previous perineal radiation.
Publisher

Journal
Year
Volume
5
Issue
2
Pages
189-193
Physical description
Dates
published
1 - 4 - 2010
online
17 - 4 - 2010
Contributors
author
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
author
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
author
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey, cemcel@yahoo.com
author
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
author
  • Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey
References
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0080-4
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