TY - JOUR
T1 - Vulva reconstruction after pelvic exenteration, using an unique combination of two flaps
AU - Van Bommel, Annelotte C.M.
AU - Schreuder, Henk W.R.
AU - Schellekens, Pascal P.A.
PY - 2011/1/1
Y1 - 2011/1/1
N2 - A 64-year-old woman with recurrence of carcinoma of the vulva in an irradiated area received an en-bloc total pelvic exenteration. Reconstruction of the pelvic defect was performed with an anterolateral thigh (ALT) flap and a rectus abdominis muscle (RAM) flap (PM/RAM). This combination of flaps is unique, with excellent results. In a large defect, often irradiated in advance, well-vascularised tissue should be placed. Multiple flaps can be used to reconstruct these large pelvic defects, each with their own advantages and disadvantages. The combination of flaps used in this case uses the good properties of both flaps: the reliable and well-vascularised PM/RAM in combination with the ALT flap to provide much bulk in extreme large defects.
AB - A 64-year-old woman with recurrence of carcinoma of the vulva in an irradiated area received an en-bloc total pelvic exenteration. Reconstruction of the pelvic defect was performed with an anterolateral thigh (ALT) flap and a rectus abdominis muscle (RAM) flap (PM/RAM). This combination of flaps is unique, with excellent results. In a large defect, often irradiated in advance, well-vascularised tissue should be placed. Multiple flaps can be used to reconstruct these large pelvic defects, each with their own advantages and disadvantages. The combination of flaps used in this case uses the good properties of both flaps: the reliable and well-vascularised PM/RAM in combination with the ALT flap to provide much bulk in extreme large defects.
UR - http://www.scopus.com/inward/record.url?scp=79959583764&partnerID=8YFLogxK
U2 - 10.1136/bcr.01.2011.3717
DO - 10.1136/bcr.01.2011.3717
M3 - Article
C2 - 22692483
AN - SCOPUS:79959583764
SN - 1757-790X
JO - BMJ Case Reports
JF - BMJ Case Reports
ER -