Reconstruction of a complex pelvic perineal defect with pedicled anterolateral thigh flap combined with bilateral lotus petal flap: A case report |
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Authors: | Federico Contedini MD Luca Negosanti MD Valentina Pinto MD Carlo Maria Oranges MD Rossella Sgarzani PhD Ferdinando Lecce MD Bruno Cola MD Riccardo Cipriani MD |
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Institution: | 1. Division of Plastic Surgery, S.Orsola‐Malpighi University Hospital, Bologna, Italia;2. Division of Surgery, S.Orsola‐Malpighi University Hospital, Bologna, Italia |
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Abstract: | Reconstructing extensive perineal defects represents a challenge, and reconstructive choice requires a careful physical assessment of previous radiotherapy, pre‐existing scars, the presence of stomas, and the availability of donor sites. We report a case of a patient affected by an anal carcinoma who underwent a pelvic exenteration and bilateral inguinal iliac obturator lymph node dissection. We performed a pedicled anterolateral thigh flap (ALT) combined with bilateral lotus petal flaps (LPF) to reconstruct the pelvic–perineal area. The result was good, and no major post‐operative complications were reported. Bilateral LPF, combined with a pedicled ALT, may represent a valid option in pelvic–perineal reconstruction following a wide oncological resection. © 2014 Wiley Periodicals, Inc. Microsurgery 35:154–157, 2015. |
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