• The combined use of pedicled profunda artery perforator and bilateral gracilis flaps for pelvic reconstruction, a cohort study

    1 month ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    The result of an extra-levator abdominoperineal excision of the rectum is a composite three-dimensional defect. This is performed for locally advanced anorectal cancer, and may involve partial excision of the vagina. The aim of reconstruction is to achieve wound healing, restore the pelvic floor and to allow micturition and sexual function. We aim to evaluate the concurrent use of profunda artery perforator and bilateral gracilis flaps for vaginal and pelvic floor reconstruction.We performed a retrospective casenote review of patients undergoing pelvo-perineal reconstruction with combined...
    Read more ...

     

  • SEPTOCUTANEOUS GLUTEAL ARTERY PERFORATOR FLAP IN BREAST RECONSTRUCTION: AN INSIGHT INTO THE RELATED ANATOMY AND PREOPERATIVE IMAGING

    1 month ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    Background: Although without a widespread popularity, the septocutaneous gluteal artery perforator flap can be an excellent choice in breast reconstruction. The purpose of the article is to further study the preoperative imaging anatomy and surgical technique for a safe operation.Patients and methods: A clinical experience in four unilateral breast reconstructions is reported, and an analysis is made of the computed tomography angiography variables that might define the microsurgical consistency and reliability of the technique.
    Read more ...