Reconstructing extensive perineal defects represents a challenge, and reconstructive choice requires a careful physical assessment of previous radiotherapy, pre-existing scars, the presence of stomas, and the availability of donor sites. We report a case of a patient affected by an anal carcinoma who underwent a pelvic exenteration and bilateral inguinal iliac obturator lymph node dissection. We performed a pedicled anterolateral thigh flap (ALT) combined with bilateral lotus petal flaps (LPF) to reconstruct the pelvic-perineal area. The result was good, and no major post-operative complications were reported. Bilateral LPF, combined with a pedicled ALT, may represent a valid option in pelvic-perineal reconstruction following a wide oncological resection. © 2014 Wiley Periodicals, Inc. Microsurgery 35:154-157, 2015.

Federico Contedini, Luca Negosanti, Valentina Pinto, Carlo Maria Oranges, Rossella Sgarzani, Ferdinando Lecce, et al. (2015). Reconstruction of a complex pelvic perineal defect with pedicled anterolateral thigh flap combined with bilateral lotus petal flap: A case report. MICROSURGERY, 35(2), 154-157 [10.1002/micr.22304].

Reconstruction of a complex pelvic perineal defect with pedicled anterolateral thigh flap combined with bilateral lotus petal flap: A case report

NEGOSANTI, LUCA;Valentina Pinto;SGARZANI, ROSSELLA;LECCE, FERDINANDO;COLA, BRUNO;CIPRIANI, RICCARDO
2015

Abstract

Reconstructing extensive perineal defects represents a challenge, and reconstructive choice requires a careful physical assessment of previous radiotherapy, pre-existing scars, the presence of stomas, and the availability of donor sites. We report a case of a patient affected by an anal carcinoma who underwent a pelvic exenteration and bilateral inguinal iliac obturator lymph node dissection. We performed a pedicled anterolateral thigh flap (ALT) combined with bilateral lotus petal flaps (LPF) to reconstruct the pelvic-perineal area. The result was good, and no major post-operative complications were reported. Bilateral LPF, combined with a pedicled ALT, may represent a valid option in pelvic-perineal reconstruction following a wide oncological resection. © 2014 Wiley Periodicals, Inc. Microsurgery 35:154-157, 2015.
2015
Federico Contedini, Luca Negosanti, Valentina Pinto, Carlo Maria Oranges, Rossella Sgarzani, Ferdinando Lecce, et al. (2015). Reconstruction of a complex pelvic perineal defect with pedicled anterolateral thigh flap combined with bilateral lotus petal flap: A case report. MICROSURGERY, 35(2), 154-157 [10.1002/micr.22304].
Federico Contedini;Luca Negosanti;Valentina Pinto;Carlo Maria Oranges;Rossella Sgarzani;Ferdinando Lecce;Bruno Cola;Riccardo Cipriani
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/328716
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