0 510

Cited 0 times in

천공지 기저 국소피판을 이용한 회음부 결손의 재건

Other Titles
 Reconstruction of the Defect in Perineum using Local Perforator Based Flap 
Authors
 이주홍  ;  윤인식  ;  이동원  ;  이원재  ;  나동균 
Citation
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.36(5) : 565-570, 2009 
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgery(대한성형외과학회지)
ISSN
 1015-6402 
Issue Date
2009
Abstract
Purpose: Numerous techniques have been introduced
to reconstruct the perineal area in order to preserve
function of both the recipient and the donor site while
satisfying aesthetic results. There are several advantages
of using the pudendal aretery perforator based flap in that it
provides thin coverage of defect area and a relatively
excellent circulation through perforators. The perineal
region can be divided into two areas : the urogenital triangle
and the anal triangle. Since each area differs in structure
and function so does its reconstructive plan. The authors of
this article report clinical results obtained from pudendal
artery perforator based reconstructed cases according to
each different triangles.

Methods: A total of 15 patients who underwent perineal
reconstruction were enrolled in our study from 2002 to
2006. There were 4 cases of vaginal cancer, 4 cases of
extramammary Paget's disease, 1 case of rectovaginal
fistula in females and 2 cases of Paget's disease and 4
cases of Fournier's gangrene in male cases. The follow up
period was on average 6 month. In female, superficial
pudendal artery perforator based local flap were used to
reconstruct the urogenital triangle defects, while internal
pudendal artery perforator based local flaps were used to
reconstruct the anal traingle defects. In males the gracilis
myocutaneous flap and internal pudendal artery perforator
based local flaps were used in reconstruction of the
scrotum and perineal defect.

Results: In females, there was 1 case of partial flap
necrosis that employed the superficial pudendal artery
perforator but secondary repair through the internal
pudendal artery perforator based local flap was done. In
addition, there were 4 wound dehiscence cases in females
and 2 cases in males.

Conclusion: We believe that a better aesthetic and
functional outcome can be achieved in perineal reconstruction
if discrete surgical planning is carried out systematically
categorizing the choice of flap employed acccording
to distinct anatomical regions : the urogenital and the anal
triangle.
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, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
Lee, Won Jai(이원재) ORCID logo https://orcid.org/0000-0003-3056-0503
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104751
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links