Vertical subcutaneous pedicle flaps for posterior perineal reconstruction. Report of three cases

Diseases of the Colon and Rectum
E RicchiC Pezcoller

Abstract

Loss of a certain amount of cutaneous tissue of the perineal region may be remedied by first intention with creation of cutaneous flaps, thus preventing second intention healing. We present three emblematic cases in which the posterior perineal region was reconstructed by means of vertical subcutaneous pedicle flaps, subsequent to cutaneous tissue loss after surgery for extensive condilomas or neoplastic pathologies. Tissue loss was repaired by means of a V-Y type vertical subcutaneous pedicle flap, constructed laterally of the extirpation zone and advanced in a median direction. In all cases, no ischemia or infection of flaps occurred; sphincteral continence and long-term aesthetic results have proved to be satisfactory. Vertical pedicle subcutaneous flaps are well vascularized, extremely mobile, and easy to perform and have no serious postoperative complications.

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Citations

Mar 24, 1998·Diseases of the Colon and Rectum·S FundaròG De Bernardinis
Jul 5, 2001·American Journal of Surgery·I HassanS Nivatvongs
Feb 23, 2013·Techniques in Coloproctology·B A Orkin
Feb 10, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A B MacLeanFrancina Cunnington
May 13, 2004·Surgical Oncology Clinics of North America·Vipul R Dev, Abhay Gupta
Jun 7, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B DraganicM J Solomon

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