Clinical application of perforator flap in defects after wide resection of tumor in perineal region
10.3760/cma.j.issn.1009-4598.2018.09.005
- VernacularTitle: 穿支皮瓣在修复会阴区肿瘤术后缺损中的应用
- Author:
Kun XIE
1
;
Bing WEN
;
Wei ZHAI
;
Rui HE
;
Qiang LI
;
Changqing ZHOU
;
Xin QI
Author Information
1. Department of Plastic Surgery, Peking University First Hospital, Beijing 100034, China
- Publication Type:Clinical Trail
- Keywords:
Perineum, defect;
Perforator flap;
Restitution
- From:
Chinese Journal of Plastic Surgery
2018;34(9):704-708
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Reconstruction of defects after wide resection of tumor in perineal region is challenging because the defects are extensive and complex. In this report, we retrospectively analyzed the clinical experience of perineal reconstruction in last 6 years, to evaluate the value of clinical application of perforator flaps in defects of perineal region.
Methods:From January 2011 to December 2016, 32 cases of perineal cancer were treated by radical extensive excision, with defects repaired with perforator flaps. The size of perineal defects was between 8 cm×4 cm-20 cm× 20 cm, 52 perforator flaps were used for perineum reconstruction.
Results:All of the defects achieved tension-free closure. All the flaps were survived and healed with first intention except two infection and minor wound dehiscence cases. Both cases healing after dressing and secondary suture. There were no donor-site complications. During an average follow-up of 11.1 months (range, 10-12 months), the reconstructed areas achieved good functional and cosmetic outcomes.
Conclusions:Perineum reconstruction with perforator flaps following total radical extensive excision leads to good result in patients with perineal cancer. It can achieve tension-free closure and produces almost normal appearance and function of the perineum.
