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Title: V-Y Bilateral gluteus maximus myocutaneous advancement flap in the reconstruction of large perineal defects after resection of pelvic malignancies
Authors: Di Mauro, D ×
D'Hoore, André
Penninckx, Freddy
De Wever, Ivo
Vergote, Ignace
Hierner, Robert #
Issue Date: Jun-2009
Publisher: Blackwell Science
Series Title: Colorectal Disease vol:11 issue:5 pages:508-512
Abstract: Objective: To evaluate the role of the VY bilateral gluteus maximus myocutaneous flap (GLM) in the reconstruction of large perineal defects after wide surgical resections for pelvic malignancies. Patients and Methods: twelve consecutive patients (7 females. 5 males), of mean age 59 years (36 - 78), with primary or recurrent pelvic malignancies (rectal, anal, vulvar carcinoma), underwent either abdomino-perineal rectum excision with partial sacrectomy or total pelvic exenteration. The perineal defect was reconstructed by means of a GLM flap. Intraoperative blood loss, operative time, hospital stay, postoperative complications and long-term outcome were retrospectively assessed. Results: One patient died postoperatively. All the remaining patients had at least one early and/or late complication. After a mean follow-up of 31.2 months, seven patients were alive. No major functional impairment in daily activities was observed. Five patients experienced a slight discomfort in either walking, sitting or cycling. Conclusion: GLM flap is a useful technique for the repair of perineo-pelvic defects after abdomino-perineal rectum excision with partial sacrectomy.
URI: 
ISSN: 1462-8910
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Surgical Oncology
Abdominal Surgical Oncology
Plastic, Reconstructive and Estetic Surgery Section (-)
Gynaecological Oncology
× corresponding author
# (joint) last author

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