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?

• Authors: Ates Karateke , Cetin Cam , Cem Celik , Bahar Baykal , Ozgur Tosun
• 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.

Keywords

EN

Pelvic exenteration; Pelvic reconstruction; Rectus abdominis myocutaneous flap; Vulvar cancer; External beam pelvic radiation

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 2
• Pages: 189-193

Dates

published

1 - 4 - 2010

online

17 - 4 - 2010

Contributors

author

Ates Karateke

• Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey

author

Cetin Cam

• Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey

author

Cem Celik

• Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey

author

Bahar Baykal

• Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey

author

Ozgur Tosun

• Department of Obstetrics and Gynecology, Zeynep Kamil Teaching Hospital, 34590, Istanbul, Turkey

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Identifiers

DOI

10.2478/s11536-008-0080-4