Complications and Impact on Quality of Life of Vertical Rectus Abdominis Myocutaneous Flaps for Reconstruction in Pelvic Exenteration Surgery.

Diseases of the Colon and Rectum
Gabrielle H van RamshorstMichael J Solomon

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

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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
Oct 16, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yanika L JohnsonJohn T Jenkins

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