Ontology type: schema:ScholarlyArticle
2015-08
AUTHORSZeeshan Ahmad, Hazim Sadideen, Colin Oliver, Phil Baragwanath, Rana Das-Gupta
ABSTRACTTraditionally, the vertical rectus abdominis muscle (VRAM) flap has been used as a robust and effective loco-regional reconstruction for perineal defects. We present a unique approach using a vertical skin paddle pedicled deep inferior epigastric artery perforator (DIEP) flap for the management of large perineal defects following colorectal tumour excision. As a colorectal and plastic surgery tertiary referral centre, over the last 5 years, we have developed a vast experience in reconstructing these defects in collaboration with our general surgical colleagues in the multidisciplinary setting. Our main reconstructions consisted of pedicled VRAM flaps, although we have used other local and free flap options when and as required. We have since moved towards this improved technique of the pedicled DIEP flap reconstruction and present our initial experience, highlighting its main advantages, particularly over the VRAM flap. Level of Evidence: Level V, therapeutic study. More... »
PAGES331-334
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DOIhttp://dx.doi.org/10.1007/s00238-015-1065-6
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