Abstract
Pelvic exenteration for malignancy sometimes necessitates flap reconstruction. This study's aim was to investigate flap-related morbidity. A prospective database was reviewed from 2003 to 2016. All medical charts, correspondence, and outpatient follow-up records up to May 2017 were reviewed. This study was conducted at a tertiary referral unit. Patients who underwent pelvic exenteration surgery were selected. Reconstruction was performed with a vertical rectus abdominis myocutaneous flap. Primary outcome was flap-related complications (short or long term >3 months). Secondary outcomes were hospital stay, readmission, mortality, and quality of life (Short Form-36, Functional Assessment of Cancer Therapy for patients with colorectal cancer). Of 519 patients undergoing pelvic exenteration surgery, 87 (17%) underwent flap reconstruction. Median follow-up was 20 months (interquartile range, 8-39 months). Median age was 60 years (interquartile range, 51-66). Flap-related complications were found in 59 patients (68%), with minor recipient-site complications diagnosed in 33 patients (38%). In the short term, 15 patients experienced major recipient-site complications (17%), including flap separation (n = 7) and partial (n = 3) or comple...Continue Reading
References
Jun 19, 2001·Langenbeck's Archives of Surgery·M KorenkovR K Simmermacher
Nov 23, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·K HoK Lee
Jan 1, 2009·Plastic and Reconstructive Surgery·Rebecca A Nelson, Charles E Butler
Jun 6, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsA Kingsnorth
Nov 26, 2009·Plastic and Reconstructive Surgery·Sarah WongPeirong Yu
Jun 1, 2010·World Journal of Surgery·Evita ZoucasPer Alberius
Jul 27, 2011·Plastic and Reconstructive Surgery·Chris A Campbell, Charles E Butler
Jan 11, 2012·The British Journal of Surgery·A HainsworthM L George
May 15, 2012·American Journal of Surgery·Gabrielle H van RamshorstJohan F Lange
Aug 3, 2012·American Journal of Surgery·Ravi J ChokshiEdward W Martin
Nov 29, 2012·The British Journal of Surgery·A S W JacombsM J Solomon
Jan 11, 2013·Diseases of the Colon and Rectum·Uffe S LøveHenrik K Christensen
May 30, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Gabrielle H van RamshorstJohan F Lange
Apr 23, 2014·International Journal of Colorectal Disease·R E HorchJ P Beier
May 23, 2014·Techniques in Coloproctology·V O'DowdJ C Coffey
Jul 30, 2014·Plastic and Reconstructive Surgery·Patrick D CombsDavid W Mathes
Dec 3, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Pedro S ColtroRolf Gemperli
Jan 23, 2016·Plastic and Reconstructive Surgery·Chris DevulapalliGedge D Rosson
Mar 8, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A J QuynM J Solomon
Citations
Oct 16, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Joshua BlakeMichael J Solomon
Apr 3, 2021·Surgical Oncology·Kheng-Seong Ng, Peter J M Lee
Feb 25, 2021·Diseases of the Colon and Rectum·Pawan Agarwal, Dhananjaya Sharma
Feb 25, 2021·Diseases of the Colon and Rectum·Gabrielle H van RamshorstMichael J Solomon
Jul 23, 2021·The British Journal of Surgery·M J SolomonP J Lee
Oct 16, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yanika L JohnsonJohn T Jenkins