Journal Article10.1097/PRS.0B013E3181904DF7
Surgical outcomes of VRAM versus thigh flaps for immediate reconstruction of pelvic and perineal cancer resection defects.
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TL;DR: Immediate VRAM flaps result in fewer major complications than thigh flaps without increased early abdominal wall morbidity when used to repair abdominoperineal resection and pelvic exenteration defects.
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Abstract: Background:Reconstruction following abdominoperineal resection or pelvic exenteration is commonly performed with regional flaps from the thigh or abdomen This study compared the surgical outcomes and complications in cancer patients who underwent immediate reconstruction of these defects with verti
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Citations
Thickness of Rectus Abdominis Muscle and Abdominal Subcutaneous Fat Tissue in Adult Women: Correlation with Age, Pregnancy, Laparotomy, and Body Mass Index
TL;DR: Age, gestational history, and history of laparotomy influenced rectus abdominis muscle thickness but did not influence abdominal subcutaneous fat thickness, which is clinically valuable for planning a rectus abdomeninis muscle flap and safe elevation of muscle flap.
An Algorithmic Anatomical Subunit Approach to Pelvic Wound Reconstruction.
TL;DR: The pelvic subunit principle provides an effective algorithm for choosing the ideal pedicled flap for each region involved in acquired pelvic defects based on individual attributes that make each flap most appropriate for each subunit.
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Wound dehiscence after abdominoperineal resection for low rectal cancer is associated with decreased survival
TL;DR: Attention to perineal wound closure with consideration of flap creation should at least be given to patients with a history of malignant neoplasm, those with IBD,Those with rectal cancer recurrence, and women undergoing posterior vaginectomy, to reduce dehiscence risk.
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Vertical rectus abdominis myocutaneous flap reconstruction of the perineal defect after abdominoperineal excision is associated with low morbidity
TL;DR: To examine the short‐term outcomes of perineal reconstruction with a vertical rectus abdominis myocutaneous (VRAM) flap following abdominoperineal excision (APE), a single flap is fitted to the pelvis.
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Modified Vertical Rectus Abdominis Myocutaneous Flap Vaginal Reconstruction: An analysis of surgical outcomes
Jessica Berger,Shannon N. Westin,Bryan Fellman,Vijayashri Rallapali,Michael Frumovitz,Pedro T. Ramirez,Anil K. Sood,Pamela T. Soliman +7 more
TL;DR: It is confirmed that modified VRAM flaps can be used successfully at the time of exenteration, even in an increasingly high risk patient population with an acceptable risk for flap complications.
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References
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AJCC Cancer Staging Manual
Mahul B. Amin,Stephen B. Edge,Frederick L. Greene,David R. Byrd,Robert K. Brookland,Mary Kay Washington,Jeffrey E. Gershenwald,Carolyn C. Compton,Kenneth R. Hess,Daniel C. Sullivan,J. Milburn Jessup,James D. Brierley,Lauri E. Gaspar,Richard L. Schilsky,Charles M. Balch,David P. Winchester,Elliot A. Asare,Martin Madera,Donna M. Gress,Laura R. Meyer +19 more
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TL;DR: Purposes and Principles of Cancer Staging and End-Results Reporting are explained.
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Pelvic exenteration for recurrent gynecologic malignancy: Survival and morbidity analysis of the 45-year experience at UCLA
TL;DR: Pelvic exenteration in patients with recurrent cervical and vaginal malignancy is associated with a durable > 50% 5-year survival, and recurrent uterine corpus cancer in young women (< 55 years) should be included as an indication for the surgery.
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Total pelvic exenteration: The Albert Einstein College of Medicine/Montefiore Medical Center Experience (1987 to 2003)
Gary L. Goldberg,Paniti Sukumvanich,Mark H. Einstein,Harriet O. Smith,Patrick Anderson,Abbie L. Fields +5 more
TL;DR: Overall 5-year survival is encouraging, and modifications in surgical technique have improved the reconstructive phase, and TPE remains a potentially curative option for patients with recurrent cervix cancer and pelvic floor reconstruction.
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Pelvic exenteration for advanced pelvic malignancies.
TL;DR: For many patients with bulky, locally advanced primary or recurrent pelvic malignancy, aggressivesurgical extirpation is the best treatment option.
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Indications for immediate tissue transfer for soft tissue reconstruction in visceral pelvic surgery.
Andrew K. M. Khoo,John M. Skibber,Ayman Nabawi,Ayman Nabawi,Ayman Nabawi,Ali Gürlek,Ali Gürlek,Ali Gürlek,Adel Youssef,Adel Youssef,Adel Youssef,Baogang Wang,Baogang Wang,Baogang Wang,Geoffrey L. Robb,Michael J. Miller,Michael J. Miller,Michael J. Miller +17 more
TL;DR: Immediate TT for perineal wound closure is associated with fewer healing complications than PC in a subset of patients with multivisceral resection or prior radiotherapy, and Surgical planning in these cases should consider immediate soft tissue reconstruction.
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