Clin Surg | Volume 2, Issue 1 | Case Report | Open Access

Unsuccessfull Perineal Reconstruction with Myocutaneous V-Y Advancement Flap after Extralevator Abdominoperineal Excision for Low Rectal Cancer

Gurel Nessar1*, Ahmet Nurettin Cengiz1, Hasan Cem Misirlioglu2 and Ali Eba Demirbag1

1Department of Gastroenterology Surgery, Yuksek Ihtisas Hospital, Turkey
2Department of Radiation Oncology, Ankara Oncology Hospital, Turkey

*Correspondance to: Gurel Nessar 

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Abstract

Extralevator abdominoperineal excision of the rectum was introduced with the aim of improving the oncological outcome of low rectal cancer. The technique includes resection of the levator muscles from their origins on the pelvic side walls and their en bloc removal along with the mesorectum, which results in a larger perineal defect than is seen after conventional surgery. For reconstruction of large perineal defects, pedicled muscle flaps are recommended but the procedure is technically challenging and plastic surgery consultation is necessary. Local flap techniques such as a gluteus maximus myocutaneous V-Y advancement flap are an easier option. In this case report, wound failure following a local flap repair of a perineal defect is presented.

Keywords:

Rectal cancer; Extralevator abdominoperineal excision; Gluteus maximus myocutaneous V-Y advancement flap

Citation:

Nessar G, Cengiz AN, Misirlioglu HC, Demirbag AE. Unsuccessfull Perineal Reconstruction with Myocutaneous V-Y Advancement Flap after Extralevator Abdominoperineal Excision for Low Rectal Cancer. Clin Surg. 2017; 2: 1780.

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