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Perineal reconstruction using a bilobed pudendal artery perforator flap

Authors
 In Sik Yun  ;  Joo Hong Lee  ;  Dong Kyun Rah  ;  Won Jai Lee 
Citation
 GYNECOLOGIC ONCOLOGY, Vol.118(3) : 313-316, 2010 
Journal Title
GYNECOLOGIC ONCOLOGY
ISSN
 0090-8258 
Issue Date
2010
MeSH
Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Middle Aged ; Paget Disease, Extramammary/surgery ; Perineum/blood supply ; Perineum/surgery* ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies ; Surgical Flaps* ; Vulvar Neoplasms/surgery
Keywords
Perineal defect ; Reconstruction ; Pudendal artery perforator flap ; Bilobed flap
Abstract
BACKGROUND: To reconstruct the perineal region, including the urogenital and anal triangle that differ from each other in tissue characteristics and function, we applied pudendal artery perforator flaps with a bilobed flap design. This bilobed flap design could improve the arc of flap rotation and the mobility of the flap so it could cover wide and deep defects. Moreover, it could preserve the characteristics of each triangle.

METHODS: This study enrolled a total of 15 female patients who had undergone perineal reconstruction with pudendal artery perforator flaps. Seven of them had vulva cancer, seven others had extramammary Paget's disease and the remaining one patient had rectovaginal fistula. We examined the location and shape of the defects, flap designs and their clinical courses.

RESULTS: All flaps survived during the entire follow-up period. The flap sizes ranged from 3x4 to 13x12 cm, and the follow-up period was 4.6 months on average. Bilobed flaps were used in nine patients, and unilobed flaps were used in six patients. The reconstructed areas were in good functional and aesthetic conditions.

CONCLUSION: We used a bilobed pudendal artery perforator flap according to the location and shape of defect areas in the perineal region. As a result, we could preserve the functional, morphological and cosmetic characteristics of the defect areas.
Full Text
http://www.sciencedirect.com/science/article/pii/S009082581000363X
DOI
10.1016/j.ygyno.2010.05.007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Rah, Dong Kyun(나동균)
Yun, In Sik(윤인식) ORCID logo https://orcid.org/0000-0003-1103-7047
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102278
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