2,141 results match your criteria Perineal Reconstruction


Biologic mesh reconstruction versus primary closure for preventing perineal morbidity after extralevator abdominoperineal excision. A Multicenter retrospective study.

Colorectal Dis 2020 Jul 3. Epub 2020 Jul 3.

Division of Coloproctology. Department of General and Digestive Surgery, La Fe University Hospital, Valencia, Spain.

Aim: The aim of the study was to compare the perineal hernia incidence and the perineal wound morbidity following extralevator abdominoperineal excision (ELAPE) between two groups - primary perineal closure and reconstruction with a biological mesh.

Method: 147 consecutive patients who underwent ELAPE for primary rectal cancer between January 2007 and December 2018 in two tertiary referral centers were retrospectively identified from prospective databases. Perineal closure was carried out via primary closure or with a biological mesh (Porcine Dermal Collagen Mesh). Read More

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http://dx.doi.org/10.1111/codi.15225DOI Listing

Quality of Life, Sexual Functioning, and Physical Functioning Following Perineal Reconstruction with the Lotus Petal Flap.

Ann Surg Oncol 2020 Jul 2. Epub 2020 Jul 2.

Department of Surgical Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Background: Lotus petal flaps (LPF) may be used for the reconstruction of extralevator abdominoperineal defects that cannot be closed primarily. Limited data are available on how perineal reconstruction with the LPF impacts on patients' quality of life (QoL), sexual functioning, and physical functioning.

Methods: A cross-sectional study was performed following perineal reconstruction with the LPF. Read More

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http://dx.doi.org/10.1245/s10434-020-08771-5DOI Listing

Factors associated with the use of vertical rectus abdominus myocutaneous flap reconstruction following abdominoperineal resection for anorectal cancer.

J Surg Oncol 2020 Jun 28. Epub 2020 Jun 28.

Section of Plastic and Reconstructive Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.

Background And Objectives: Following abdominoperineal resection (APR), primary closure of the perineal defect is often possible. Some patients, however, require flap reconstruction. Identifying these patients preoperatively is critical to facilitate comprehensive patient counseling and optimize surgical efficacy. Read More

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http://dx.doi.org/10.1002/jso.26086DOI Listing

Extralevator abdominoperineal excision for advanced low rectal cancer: Where to go.

World J Gastroenterol 2020 Jun;26(22):3012-3023

Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

Since its introduction, extralevator abdominoperineal excision (ELAPE) in the prone position has gained significant attention and recognition as an important surgical procedure for the treatment of advanced low rectal cancer. Most studies suggest that because of adequate resection and precise anatomy, ELAPE could decrease the rate of positive circumferential resection margins, intraoperative perforation, and may further decrease local recurrence rate and improve survival. Some studies show that extensive resection of pelvic floor tissue may increase the incidence of wound complications and urogenital dysfunction. Read More

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http://dx.doi.org/10.3748/wjg.v26.i22.3012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304102PMC

Perineal Groove: An Anorectal Malformation Network, Consortium Study.

J Pediatr 2020 Jul;222:207-212

Department of Pediatric Surgery, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam and VU Amsterdam, Amsterdam, The Netherlands.

Objective: To review the Anorectal Malformation Network experience with perineal groove (PG) focusing on its clinical characteristics and management.

Study Design: Data on patients with PG managed at 10 participating Anorectal Malformation Network centers in 1999-2019 were collected retrospectively by questionnaire.

Results: The cohort included 66 patients (65 females) of median age 1. Read More

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http://dx.doi.org/10.1016/j.jpeds.2020.03.026DOI Listing

Posterior Sagittal Approach for Uterovaginal Anastomosis in a Case of Congenital Cervical Atresia with Anorectal Malformation.

J Indian Assoc Pediatr Surg 2020 May-Jun;25(3):184-186. Epub 2020 Apr 11.

Department of Paediatric Surgery, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.

Cervical atresia is a rare association with anorectal malformation (ARM) which can be missed till puberty in the presence of normal vaginal orifice. A 12-year-old girl operated for ARM in neonatal age presented with primary amenorrhea. She had a normal vaginal opening, short perineal body, and prolapsed anteposed anus and was diagnosed with cervical agenesis. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_40_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302460PMC

Pelvic peritoneum reconstruction using the bladder peritoneum flap in laparoscopic extralevator abdominoperineal excision: A multi-center, prospective single-arm cohort study (IDEAL Phase 2A).

Medicine (Baltimore) 2020 Jun;99(25):e20712

Department of Gastrointestinal Surgery.

Introduction: Extralevator abdominoperineal excision (ELAPE) may cause various surgical complications including disruption of perineal wound, perineal hernia and adhesive small-bowel obstruction. Pelvic peritoneum reconstruction (PPR) could prevent those complications, but it may not always be achievable, especially in patients with severe pelvic fibrosis after neoadjuvant radiotherapy. Our previous study has reported the application of the PPR using the bladder peritoneum flap in laparoscopic ELAPE. Read More

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http://dx.doi.org/10.1097/MD.0000000000020712DOI Listing

Functional outcomes over time following perineal pseudocontinent colostomy reconstruction after abdominoperineal resection for ultralow rectal adenocarcinoma.

J Surg Oncol 2020 Jun 20. Epub 2020 Jun 20.

Surgical Oncology Department, Medical School, National Institute of Oncology, Mohammed V University, Rabat, Morocco.

Background And Objectives: Pseudocontinent-perineal colostomy (PCPC) following abdominoperineal resection (APR) is a promising technique associated with good quality of life. This study evaluates over time the functional results after PCPC using the Kirwan score.

Methods: All PCPC patients operated on from January 2001 to January 2016 were followed with their functional results assessed at four checkpoints. Read More

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http://dx.doi.org/10.1002/jso.26074DOI Listing

Urethroplasty for failed hypospadias repair related strictures in adults: a retrospective analysis with long-term follow-up.

Urology 2020 Jun 16. Epub 2020 Jun 16.

Dept. of Urology, Ghent University Hospital, Ghent, Belgium. Electronic address:

Objectives: To report long-term surgical outcomes after urethroplasty for failed hypospadias repair (FHR) related strictures in adults.

Materials And Methods: A database of all adult (≥18y) men who underwent urethroplasty since 2000 at Ghent University Hospital was created (prospective data since 2008). Patients with a follow-up <1y or non-FHR related strictures were excluded. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.070DOI Listing

A Surgical Technique to Repair Perineal Body Disruption Secondary to Sexual Assault.

European J Pediatr Surg Rep 2020 Jan 28;8(1):e27-e31. Epub 2020 Apr 28.

Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa.

Perineal trauma is uncommon in the pediatric population and it is estimated that 5 to 21% is secondary to sexual abuse. We aim to present a proposed surgical technique to repair perineal injuries secondary to sexual assault in female children. The technique is based on the posterior sagittal anorectoplasty (PSARP) for repairing anorectal malformations and, between 2017 and 2019, it was used to treat three girls (2 months, 2 years, and 8 years of age) with fourth-degree perineal injuries secondary to sexual assault. Read More

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http://dx.doi.org/10.1055/s-0039-1695048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188516PMC
January 2020

[Clinical study of 21 cases of sacral cysts containing fila terminale].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Jun;52(3):582-585

Department of Neurosurgery, Peking University Third Hospital, Beijing 100191, China.

Objective: To summarize the characteristics of sacral cysts containing fila terminale and to explore the surgical treatment methods.

Methods: The clinical features, imaging characteristics and surgical methods of 21 cases of sacral cysts containing fila terminale from July 2010 to March 2017 were reviewed and analyzed. Lumbosacral and perineal pain, weakness of the lower limbs and bladder and bowel dysfunction were the common clinical symptoms. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2020.03.028DOI Listing

Tissue Expander Scrotal Reconstruction.

Plast Reconstr Surg Glob Open 2020 Mar 24;8(3):e2714. Epub 2020 Mar 24.

Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Health System, Durham, N.C.

Fournier's gangrene is a life-threatening soft tissue infection requiring aggressive debridement of the perineum. Surgical debridement results in large defects of the scrotum requiring reconstruction for functional coverage of the testes. Several studies have described scrotal reconstruction utilizing split thickness skin grafts or local flaps. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253239PMC

An Algorithmic Approach to Perineal Reconstruction.

Plast Reconstr Surg Glob Open 2019 Dec 11;7(12):e2572. Epub 2019 Dec 11.

Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.

Perineal wounds are one of the more challenging plastic surgical defects to reconstruct. Resections in the perineum vary in size and are frequently complicated by radiation, chemotherapy, and contamination. Furthermore, the awkward location and potential need to maintain function of the anus, urethra, and vagina and to allow comfortable sitting all contribute to the complexity of these reconstructions. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288874PMC
December 2019

[The surgical treatment of male perineum Paget's disease].

Zhonghua Yi Xue Za Zhi 2020 Jun;100(22):1711-1714

Institute of Urology, Capital Medical University / Department of Urology, Beijing Chao-Yang Hospital, Beijing 100020, China.

To evaluatethe clinical efficacy and complications of skin graft and flap plastic technique covered the defect in perineal Paget's disease postoperatively. The study comprised 6 patients diagnosed with perineal Paget's disease at Beijing Chao-Yang Hospital from June 2017 to July 2019, with all available clinical data reviewed. The defects after resection of lesions were reconstructed with skin graft, advancement skin flap during the operation, respectively. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20190917-02056DOI Listing

A low incidence of perineal hernia when using a biological mesh after extralevator abdominoperineal excision with or without pelvic exenteration or distal sacral resection in locally advanced rectal cancer patients.

Tech Coloproctol 2020 Jun 8. Epub 2020 Jun 8.

Department of Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.

Background: Extralevator abdominoperineal excision (ELAPE), abdominoperineal excision (APE) or pelvic exenteration (PE) with or without sacral resection (SR) for locally advanced rectal cancer leaves a significant defect in the pelvic floor. At first, this defect was closed primarily. To prevent perineal hernias, the use of a biological mesh to restore the pelvic floor has been increasing. Read More

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http://dx.doi.org/10.1007/s10151-020-02248-zDOI Listing

Perineal resection and anorectal amputation with perforator flap reconstruction by a dorsal approach in prone Jackknife position.

Int J Gynecol Cancer 2020 Jun 7. Epub 2020 Jun 7.

Department of Surgical Oncology, Institut Universitaire de Cancer de Toulouse, Institut Universitaire du Cancer de Toulouse - Oncopole, Toulouse, France

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http://dx.doi.org/10.1136/ijgc-2020-001423DOI Listing

Radical vulvectomy with right gluteal and left medial thigh V-Y advancement flap reconstruction.

J Turk Ger Gynecol Assoc 2020 Jun 5. Epub 2020 Jun 5.

Department of Gynecologic Oncology, University of Groningen, Groningen, The Netherlands.

Vulvar cancer is rarely seen. Vulva corresponds to the external female genitalia and it is in association with the perineum with the intersection of urinary, sexual and anal systems. The deep anatomy of the perineum in the urogenital and anogenital triangle should be well-known by the gynecological oncologists. Read More

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http://dx.doi.org/10.4274/jtgga.galenos.2020.2020.0055DOI Listing

Interdisciplinary Surgical Approaches in Vaginal and Perineal Reconstruction of Advanced Rectal and Anal Female Cancer Patients.

Front Oncol 2020 13;10:719. Epub 2020 May 13.

Department of Plastic and Hand Surgery, University Hospital Erlangen-Friedrich Alexander University of Erlangen-Nuernberg FAU, Erlangen, Germany.

Relapsing or far advanced rectal and anal cancers remain difficult to treat and require interdisciplinary approaches. Due to modern standard protocols all patients receive irradiation and neoadjuvant chemotherapy-and in case of a relapse a second irradiation-rendering the surgical site prone to surgical site infections and oftentimes long lasting sinus and septic complications after exenteration in the pelvis. Despite an improved overall survival rate in these patients the downside of radical tumor surgery in the pelvis is a major loss of quality of life, especially in women when parts of the vagina need to be resected. Read More

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http://dx.doi.org/10.3389/fonc.2020.00719DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237715PMC

[Surgical reconstruction of traumatic sphincter muscle defects].

Authors:
M Kim J Reibetanz

Chirurg 2020 May 30. Epub 2020 May 30.

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland.

Background: Traumatic anal sphincter muscle defects often occur after childbirth and surgery and can lead to fecal incontinence that requires further treatment.

Objective: The aim of this article is to illustrate the etiology of traumatic sphincter muscle defects, the treatment options of subsequent fecal incontinence and their evaluation on the basis of current studies.

Material And Methods: Selected studies are presented. Read More

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http://dx.doi.org/10.1007/s00104-020-01206-7DOI Listing

[Aphallia - report of two cases].

Urologe A 2020 Jul;59(7):825-828

Klinik für Kinderchirurgie und Kinderurologie, Kinderkrankenhaus Amsterdamer Straße, Amsterdamer Straße 59, 50735, Köln, Deutschland.

Aphallia is an extremely rare congenital malformation of unknown cause. The incidence is reported in the literature to be 1 in 10-30 million live births. Almost 100 cases have been described to date. Read More

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http://dx.doi.org/10.1007/s00120-020-01244-3DOI Listing

Pelvic/Perineal Reconstruction: Time to Consider the Anterolateral Thigh Flap as a First-line Option?

Plast Reconstr Surg Glob Open 2020 Apr 24;8(4):e2733. Epub 2020 Apr 24.

Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, Calif.

Background: Abdominoperineal resection (APR) and pelvic exenteration continue to be common procedures for the treatment of colorectal malignancy. The workhorse flap for reconstruction in these instances has been the vertical rectus abdominis myocutaneous flap. The associated donor site morbidity, however, cannot be ignored. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002733DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209827PMC

Reconstruction of Perineal Defects: A Comparison of the Myocutaneous Gracilis and the Gluteal Fold Flap in Interdisciplinary Anorectal Tumor Resection.

Front Oncol 2020 6;10:668. Epub 2020 May 6.

Department of Plastic and Hand Surgery, Medical Center, University of Freiburg, Freiburg, Germany.

Resection of anorectal malignancies may result in extensive perineal/pelvic defects that require an interdisciplinary surgical approach involving reconstructive surgery. The myocutaneous gracilis flap (MGF) and the gluteal fold flap (GFF) are common options for defect coverage in this area. Here we report our experience with the MGF/GFF and compare the outcome regarding clinical key parameters. Read More

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http://dx.doi.org/10.3389/fonc.2020.00668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218107PMC

Reconstruction of large perineal defects after advanced malignant tumour resection: a simple gluteal thigh flap modification.

J Plast Surg Hand Surg 2020 May 14:1-4. Epub 2020 May 14.

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.

Reconstruction of large defects in the perineal region, after resection of advanced malignant tumours is challenging because both coverage of the perineal skin defect and adequate filling of the pelvic space must be achieved simultaneously. This manuscript introduces a simple gluteal posterior thigh flap modification for the reconstruction of such defects. A trilobed flap, in the gluteal and posterior thigh regions, was designed to be of an adequate size to repair the dermal and pelvic floor defects. Read More

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http://dx.doi.org/10.1080/2000656X.2020.1763373DOI Listing

Fournier's gangrene: a review of reconstructive options.

Cent European J Urol 2020 31;73(1):74-79. Epub 2019 Dec 31.

Department of Plastic, Reconstructive and Esthetic Surgery and Burn Unit, Centro Hospitalar de São João, Porto, Portugal.

Introduction: Fournier's gangrene is a rapidly progressive necrotizing fasciitis of the genital and perineal tissues with a high mortality rate. Early diagnosis and treatment with fluid resuscitation, surgical debridement and wide-spectrum antibiotics are essential in the management of Fournier's gangrene. After primary treatment, reconstructive surgery is often necessary for coverage of soft-tissue defects. Read More

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http://dx.doi.org/10.5173/ceju.2020.0060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203772PMC
December 2019

[A Case Involving Successful Resection of Advanced Lower Rectal Cancer with Perineum Reconstruction after Preoperative Chemotherapy and Chemoradiotherapy].

Gan To Kagaku Ryoho 2020 Jan;47(1):177-179

Dept. of Surgery, Tokyo-Kita Medical Center.

A 58-year-old woman visited our hospital for diagnosis and treatment of rectal tumor. The tumor was diagnosed as adenocarcinoma metastasizing to the uterus and vagina. Using CT, metastases were detected in the lung, liver, and right inguinal lymph node. Read More

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January 2020

Technical Refinements of Vulvar Reconstruction in Gender-Affirming Surgery.

Plast Reconstr Surg 2020 May;145(5):984e-987e

New York, N.Y. From the Department of Urology and the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center.

Penile inversion vaginoplasty involves creation of vulva and a vaginal canal. Few studies describe techniques for creating aesthetic vulvar components, particularly the clitoral hood and labia minora. The authors present their approach to primary vulvoplasty, aiming to achieve the following: (1) labia minora that are well-defined and three-dimensional; (2) labia minora that frame the introitus; (3) sufficient clitoral hooding; (4) a patent introitus that appears closed at rest; and (5) prominent labia majora. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006796DOI Listing

Therapeutic tactics in the deep forms of rectal abscesses complicated by fournie gangrene.

Wiad Lek 2020 ;73(2):293-297

Cracow University Of Economics, Cracow, Poland, Stefan Żeromski Hospital In Cracow, Poland.

Objective: The aim: To conduct an analysis of the complex treatment of severe forms of rectal abscesses complicated by NF.

Patients And Methods: Materials and methods: The results of treatment in 471 patients with deep forms of RA was performed. In 38(8%) the spread of the process and rotten-necrotic affection of the perineal fascia. Read More

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Reply: Female Genital and Vaginal Plastic Surgery: An Overview.

Plast Reconstr Surg 2020 04;145(4):873e-874e

Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Ill. Lenox Hill Hospital, Manhattan Eye, Ear, and Throat Hospital, New York, N.Y.

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http://dx.doi.org/10.1097/PRS.0000000000006660DOI Listing

Female Genital and Vaginal Plastic Surgery: An Overview.

Plast Reconstr Surg 2020 04;145(4):872e-873e

Division of Plastic and Reconstructive Surgery, Santa Maria alle Scotte Hospital, University of Siena, Siena, Italy Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, N.Y. Division of Plastic and Reconstructive Surgery, Santa Maria alle Scotte Hospital, University of Siena, Siena, Italy.

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http://dx.doi.org/10.1097/PRS.0000000000006659DOI Listing

The Bilateral Pedicled Epilated Scrotal Flap: A Powerful Adjunctive for Creation of More Neovaginal Depth in Penile Inversion Vaginoplasty.

J Sex Med 2020 May 20;17(5):1033-1040. Epub 2020 Mar 20.

Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Location VUMC, Amsterdam, the Netherlands; Center of Expertise on Gender Dysphoria, Amsterdam University Medical Center, Location VUMC, Amsterdam, the Netherlands.

Background: Penile inversion vaginoplasty is a commonly performed genital gender-affirming procedure in transgender women. The creation of an adequate functional neovaginal depth in cases of too little usable penile skin is a challenge. The bilateral pedicled epilated scrotal flap (BPES-flap) can be used as an easy adjunctive technique and may serve as a tool in the surgical armamentarium of the gender surgeon. Read More

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http://dx.doi.org/10.1016/j.jsxm.2020.02.024DOI Listing

Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn's disease-a unique case report.

Int J Colorectal Dis 2020 Jul 17;35(7):1337-1341. Epub 2020 Mar 17.

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Pettenkoferstr. 8a, 80336, Munich, Germany.

Background: Crohn's disease (CD) is a chronic inflammatory disorder which leads to anorectal fistulas. In rare cases, patients develop anal squamous cell carcinoma (ASCC) within these lesions. There is limited literature regarding ASCC in patients with CD. Read More

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http://dx.doi.org/10.1007/s00384-020-03569-zDOI Listing

VRAM flap for an above knee amputation stump.

JPRAS Open 2020 Mar 13;23:11-18. Epub 2019 Nov 13.

Department of Surgery (Plastic), University of Nairobi, P.O. Box 2212-00202, Nairobi, Kenya.

Although routinely utilized in reconstruction of groin, perineal and thigh defects, the pedicled vertical rectus abdominis myocutaneous (VRAM) flap has only once been previously reported for coverage of above knee amputation (AKA) stumps. A 36 year old man sustained a traumatic above knee amputation after stepping on an improvised explosive device (IED). Following several sessions of debridement, an ipsilateral pedicled VRAM flap was utilized to provide padded soft tissue coverage and maintain bone length (6 cm below the greater trochanter), avoiding both a debilitating hip disarticulation and a need for a free flap. Read More

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http://dx.doi.org/10.1016/j.jpra.2019.11.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061674PMC

[Long-Term Disease-Free Survival after Chemoradiotherapy for Postoperative Local Recurrence of Rectal Cancer-A Case Report].

Gan To Kagaku Ryoho 2019 Dec;46(13):2324-2326

Dept. of Surgery, Munakata Suikokai General Hospital.

We report a case of a 63-year-old man with a perirectal abscess due to rectal cancer referred to us from another clinic. We performed 3 courses of preoperative chemotherapy using mFOLFOX6 and then performed a Miles operation plus D3 dissection followed by reconstruction of an artificial anus using the ileum. The pathological diagnosis was tub2, pAI(prostate), pN0 (0/12), ND(v+), and fStage Ⅲa. Read More

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December 2019

Complex Obstetric Perineal Injury Reconstruction Using Antropyloric Valve Transposition.

Ann Coloproctol 2020 Feb 29;36(1):58-61. Epub 2020 Feb 29.

Department of Surgical Gastroenterology, King George's Medical University, Lucknow, India.

Despite significant advancements in the field of medicine, management of complex obstetric perineal injuries remains a challenge. Although several surgical techniques have been described, no techniques have provided satisfactory long-term results. Recently, a perineal transposed antropyloric valve has been used for anorectal reconstruction in patients with damaged or excised anal sphincters. Read More

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http://dx.doi.org/10.3393/ac.2018.08.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7069671PMC
February 2020

Full thickness genital burns independently increase the odds of death among pediatric burn patients.

J Pediatr Urol 2020 Apr 31;16(2):220.e1-220.e6. Epub 2020 Jan 31.

Department of Urology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: There are limited published data characterizing pediatric burn patients with genital burns (GB).

Objective: Assess prevalence of GB in pediatric burn patients and analyze clinical characteristics including predictors of mortality.

Study Design: We queried American Burn Association's National Burn Repository to identify all pediatric burn patients who presented to North American burn centers over a 10-year period. Read More

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http://dx.doi.org/10.1016/j.jpurol.2020.01.011DOI Listing

Ultrasonography and robotic-assisted laparoscopic sacrocervicopexy with pubocervical fascia reconstruction: comparison with standard technique.

J Robot Surg 2020 Feb 15. Epub 2020 Feb 15.

Division of Urology and Gynecology, Department of Surgery, Sebastian River Medical Center, Sebastian, FL, USA.

The objective of this study was to evaluate our technique of ultrasonography and robotic-assisted sacrocervicopexy with pubocervical fascia reconstruction (u-RALS-PFR) versus standard robotic-assisted laparoscopic sacrocervicopexy (s-RALS) in the treatment of patients with symptomatic apical/anterior vaginal prolapse. A retrospective analysis was done using the data in two community hospitals. Thirty women presented with symptomatic vaginal apical prolapse and desired minimally invasive surgery (video): (a) standard robotic-assisted laparoscopic sacrocervicopexy (s-RALS) (n = 15) or (b) ultrasound and robotic-assisted sacrocervicopexy with pubocervical fascia reconstruction (u-RALS-PFR) (n = 15) were eligible to participate. Read More

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http://dx.doi.org/10.1007/s11701-020-01051-0DOI Listing
February 2020

Fournier's gangrene in a rectal cancer patient.

Int J Surg Case Rep 2020 6;67:150-153. Epub 2020 Feb 6.

Department of Surgery, Pusan National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, South Korea.

Introduction: Fournier's gangrene (FG) is caused by a variety of causes, but FG led by rectal cancer is rare.

Presentation Of Case: A 62-year-old man presented with perineal pain for several days. Multiple black spots on the scrotum and perineum surrounded by erythema were found on a physical exam. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021527PMC
February 2020

[Anastomosis stenosis after radical prostatectomy and bladder neck stenosis after benign prostate hyperplasia treatment: reconstructive options].

Urologe A 2020 Apr;59(4):398-407

Klinik für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22307, Hamburg, Deutschland.

Bladder neck stenosis (BNS) after simple prostatectomy and vesicourethral anastomosis stenosis (VUAS) after radical prostatectomy for prostate cancer are common sequelae. However, the two entities differ in their pathology, anatomy and their surgical results. VUAS has an incidence of 0. Read More

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http://dx.doi.org/10.1007/s00120-020-01143-7DOI Listing

Robotic urethral reconstruction: redefining the paradigm of posterior urethroplasty.

Transl Androl Urol 2020 Feb;9(1):121-131

Department of Urology, Mayo Clinic, Rochester, MN, USA.

Outlet procedures for benign prostatic hypertrophy, prostate cancer therapy, and trauma can result in stenosis of the posterior urethra, a complex reconstructive problem that often fails conservative endoscopic management, necessitating more aggressive and definitive reconstructive solutions. This is typically done with an open technique which may require a combined abdominoperineal approach, pubectomy, and/or flap interposition. Implementation of a robot-assisted platform affords several potential advantages including smaller incisions, magnified field of vision, near-infrared fluorescence (NIRF) imaging to characterize tissue integrity, enhanced dexterity within the deep and narrow confines of the male pelvis, sparing of the perineal planes, and shorter convalescence. Read More

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http://dx.doi.org/10.21037/tau.2019.08.22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995938PMC
February 2020

Divisional Reconstruction Strategy: The Repair of Perineal Skin Defect After Tumor Resection.

Scand J Surg 2020 Feb 7:1457496920903980. Epub 2020 Feb 7.

Department of Plastic Surgery, First Affiliated Hospital of Second Military Medical University, Shanghai, China.

Background And Aims: The unique anatomical and physiological function of the perineum region makes it difficult to be repaired after tumor resection. We aim to evaluate the efficacy of PSC divisional reconstruction strategy in the reconstruction of perineal skin defect.

Materials And Methods: This study includes patients undergoing perineal skin defect reconstruction with PSC strategy-P (penis), S (scrotum), C (circum-penoscrotal skin) divisional reconstruction strategy. Read More

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http://dx.doi.org/10.1177/1457496920903980DOI Listing
February 2020

Perineal Urethrostomy for Complicated Anterior Urethral Strictures: Indications and Patient's Choice. An Analysis at a Single Institution.

Urology 2020 Apr 28;138:160-165. Epub 2020 Jan 28.

Department of Urology, Ghent University Hospital, Ghent, Belgium.

Objectives: To explore indications for a definitive perineal urethrostomy (PU). To objectify the proportion of patients not completing the final stage procedure in an intended multi-stage urethroplasty. To analyze the incentives for both of these scenarios. Read More

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http://dx.doi.org/10.1016/j.urology.2019.11.064DOI Listing

Reconstruction for labial adhesion in postmenopausal woman using vulvoperineal flap.

Case Reports Plast Surg Hand Surg 2019 23;6(1):136-139. Epub 2019 Apr 23.

Department of Plastic and Reconstructive Surgery, Saitama Medical University, Saitama, Japan.

We report the case of an 86-year-old postmenopausal woman with severe labial adhesion. The adhesion overlying the vestibule was manually separated and the skin defect was covered with bilateral vulvoperineal flaps. Reconstruction using the vulvoperineal flap enabled to prevent recurrence by covering with normal skin tissue. Read More

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http://dx.doi.org/10.1080/23320885.2019.1602474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968580PMC

Reconstruction of critically-sized perineal defect with perforator flap puzzle technique: a case report.

Case Reports Plast Surg Hand Surg 2019 1;6(1):38-42. Epub 2019 Mar 1.

Gynaecological Oncology Surgery Department, The Christie NHS Foundation Trust, Manchester, UK.

Extensive defects in perineal reconstruction cannot be effectively reconstructed with only a single perforator flap or other conventional techniques. We present a combination of three different types of flaps including pedicled ALT-rectus-vastus lateralis, gracilis-PAP flap and two IGAP flaps as an alternative option for reconstructing a critically-sized perineal defect. Read More

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http://dx.doi.org/10.1080/23320885.2019.1583568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968634PMC

Inferior part of rectus abdominis muscle flap: A case report.

Med J Islam Repub Iran 2019 16;33:111. Epub 2019 Oct 16.

Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences, Tehran, Iran.

Abdominoperineal resection (APR) is the standard surgical treatment for low-lying anorectal malignancies. It seems that immediate flap reconstruction has fewer complications compared to primary closure. There are several options for local flap reconstruction of perineal wound closure, and each specific flap method has its own advantages and disadvantages. Read More

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http://dx.doi.org/10.34171/mjiri.33.111DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983492PMC
October 2019

A Comparison of the Short-term Outcomes of Three Flap Reconstruction Techniques Used After Beyond Total Mesorectal Excision Surgery for Anorectal Cancer.

Dis Colon Rectum 2020 04;63(4):461-468

Department of Plastic Surgery, Royal Marsden Hospital, London, United Kingdom.

Background: Surgery for advanced or recurrent pelvic malignancy can result in perineal defects that cannot be closed by wound edge approximation. Myocutaneous flaps can fill the defect and accelerate healing. No reconstruction has been proven to be superior to the others. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001585DOI Listing

Comparison of clear cell carcinoma and benign endometriosis in episiotomy scar - two cases report and literature review.

BMC Womens Health 2020 01 20;20(1):11. Epub 2020 Jan 20.

Department of Gynecology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, NO.261 HuanSha Road, ShangCheng District, Hang Zhou, 310006, Zhe Jiang Province, China.

Background: Malignant endometriosis in an episiotomy scar is rare; only seven cases have been reported previously. Here, we compare two cases of benign endometriosis and clear cell carcinoma.

Case Presentation: The first case was a 54-year-old woman who presented with a large perineal lesion in her episiotomy scar with high 18F-fluorodeoxyglucose uptake. Read More

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http://dx.doi.org/10.1186/s12905-020-0880-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971865PMC
January 2020
1.657 Impact Factor

Sarcopenia Is a Risk Factor for Infection for Patients Undergoing Abdominoperineal Resection and Flap-based Reconstruction.

Plast Reconstr Surg Glob Open 2019 Jul 26;7(7):e2343. Epub 2019 Jul 26.

Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Palo Alto, Calif.

Abdominoperineal resection (APR) carries a high risk of morbidity. Preoperative risk assessment can help with patient counseling, minimize adverse outcomes, and guide surgeons in their choice of reconstruction. This study examined the impact of sarcopenia (low lean muscle mass) on postoperative complications after APR. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002343DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952152PMC

Structural Analysis of the Bulbospongiosus Muscle in Patients With Bulbar Urethral Strictures.

Urology 2020 03 9;137:183-189. Epub 2020 Jan 9.

State University Rio de janerio, Rio de janeiro, Brazil. Electronic address:

Objective: To characterize the bulbospongiosus muscle (BSM) in patients with bulbar urethral strictures.

Materials And Methods: We studied 21 patients divided into 2 groups: Stricture Group (n = 14; mean age = 62.00 years) with bulbar stricture submitted to open urethroplasty; and Control Group (n = 7; mean age = 60. Read More

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http://dx.doi.org/10.1016/j.urology.2019.11.046DOI Listing

Further insights into the treatment of perineal hernia based on a the experience of a single tertiary centre.

Colorectal Dis 2020 Jun 23;22(6):694-702. Epub 2020 Jan 23.

Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Aim: There is little evidence concerning the optimal surgical technique for the repair of perineal hernia. This study aimed to report on the evolution of a technique for repair of perineal hernia by analysing the experience in a tertiary referral centre.

Method: This was a retrospective review of consecutive patients who underwent perineal hernia repair after abdominoperineal excision in a tertiary referral centre. Read More

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http://dx.doi.org/10.1111/codi.14952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318248PMC

Immediate Reconstruction After Colorectal Cancer Resection: A Cohort Analysis Through the National Surgical Quality Improvement Program and Outcomes Review.

Ann Plast Surg 2020 02;84(2):196-200

From the Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Background: Colorectal cancer is one of the most common and fatal malignancies in the United States. When localized to the distal gastrointestinal tract, surgical therapy includes abdominoperineal resection (APR) or pelvic exenteration (PEX). Subsequent ablative defects are considerable, impart concerning morbidity, and often necessitate autologous reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000002103DOI Listing
February 2020
1.458 Impact Factor