PERINEAL AND POSTERIOR VAGINAL WALL RECONSTRUCTION WITH SUPERIOR AND INFERIOR GLUTEAL ARTERY PERFORATOR FLAPS
PERINEAL AND POSTERIOR VAGINAL WALL RECONSTRUCTION WITH SUPERIOR AND INFERIOR GLUTEAL ARTERY PERFORATOR FLAPS
复制标题
DOI：
10.1002/micr.20663
复制
发表时间：
2009-01-01
期刊：
影响因子：
2.1
通讯作者：
Acosta, Rafael
中科院分区：
文献类型：
--
作者：
Wagstaff, Marcus J. D.;Rozen, Warren M.;Acosta, Rafael
腹会阴部和局部肿瘤切除术后的会阴和阴道后壁重建需要置换会阴和骶骨之间的体积并恢复功能性阴道。理想的局部重建选择包括避免功能性肌肉牺牲，不干扰结肠造口形成，并避免使用辐照组织。为了避免供区的其他选择的发病率，我们描述了一个筋膜皮肤的选择重建会阴和阴道后壁。我们提出了我们的技术上级和臀下动脉穿支（SGAP或IGAP）皮瓣重建这种缺陷。2004年至2008年，14例患者接受了11例SGAP和3例IGAP皮瓣。没有皮瓣失败或部分皮瓣丢失，也没有术后疝。所有女性患者均报告在该手术后恢复性交。我们的经验是，无论是在即时和延迟设置是，这种技术产生了良好的功能结果与供区发病率低。（C）2009 Wiley-Liss，Inc.显微外科29：626-629，2009。
Perineal and posterior vaginal wall reconstruction following abdominoperineal and local cancer resection entails replacement of volume between the perineum and sacrum and restoration of a functional vagina. Ideal local reconstructive options include those which avoid functional muscle sacrifice, do not interfere with colostomy formation, and avoid the use of irradiated tissue. In avoiding the donor site morbidity of other options, we describe a fasciocutaneous option for the reconstruction of the perineum and posterior vaginal wall. We present our technique of superior and inferior gluteal artery perforator (SGAP or IGAP) flaps to reconstruct such defects. Fourteen patients between 2004 and 2008 underwent 11 SGAP and three IGAP flaps. There were no flap failures or partial flap losses and no postoperative hernias. All female patients reported resumption of sexual intercourse following this procedure. Our experience in both the immediate and delayed setting is that this technique produces a good functional outcome with low donor-site morbidity. (C)2009 Wiley-Liss, Inc. Microsurgery 29:626-629, 2009.