Pelvic Floor Reconstruction Utilizing a Residual Hamstring Rotational Flap Following Traumatically Induced Subtotal Hemipelvectomy in a Combat Blast Casualty: A Case Report

Purcell, Richard L.; Cody, John P.; O’Donnell, Mary T.; Andersen, Romney C.; Rodríguez, Carlos J.; Tintle, Scott M.

doi:10.7205/milmed-d-15-00498

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Purcell et al . reported the first reconstruction using a residual hamstring rotational flap [10]. To the best of our knowledge, most of these reports involved reconstruction after unilateral hemipelvectomy.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report

et al. 2019

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BackgroundTraumatic hemipelvectomy is a catastrophic fracture of the pelvis as a result of high-energy trauma, such as in a car accident. There have been few case reports of traumatic hemipelvectomy because many of these patients die before they are transferred to a hospital. However, an increasing number of patients are being saved and admitted to hospital due to improvements in resuscitation and the emergency response system. Accordingly, there has been a growing body of reports on the management and reconstruction of traumatic hemipelvectomy.Case presentationA healthy 20-year-old Japanese man was trapped beneath a 3-ton steel frame while working on a crane. We describe here a very challenging case of traumatically induced bilateral partial hemipelvectomy with successful reconstruction of our patient’s pelvis using a unilateral anterolateral thigh flap.ConclusionTo the best of our knowledge, there have been few reports of bilateral hemipelvectomy and our case is the first to be successfully treated with a unilateral anterolateral thigh flap.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report

et al. 2019

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“…However, these nets have not been widely accepted and recognized by patients due to problems such as postoperative net erosion, pain, exposure, rejection, bleeding, infection, and high prices. [ 10 , 11 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of pelvic autologous tissue reconstruction in treating pelvic organ prolapse in 36 patients

Huang

Sha

et al. 2018

Medicine

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This study aims to search for a new, economic, convenient, and low recurrence rate operation for the surgical management of pelvic organ prolapse (POP). The clinical value of the operation for treating POP was determined through retrospective case series. The new operation was called, pelvic autologous tissue reconstruction.Women with symptomatic uterine prolapse, who required surgery, were recruited. A total of 97 women [stage III to IV, according to POP quantification (POP-Q) staging] were collected from January 2010 to December 2016. Among these women, 61 women underwent a traditional operation (TO, vaginal hysterectomy and vaginal anterior and posterior wall repair), while the remaining women underwent pelvic autologous tissue reconstruction.First, there was no statistically significant difference in intraoperative blood loss, indwelling urethral catheter time, in-hospital time, and the time of passage of gas through the anus between the pelvic autologous reconstruction (PAR) and TO groups (P > .05). The average operation time in the PAR group was significantly longer than that in the TO group (P < .05). Second, ultrasonic parameters before and after the operation between the 2 groups were compared. The postoperative rotation angle of the urethra (UR), posterior vesicourethral angle (PVA), and bladder neck descent (BND) significantly decreased in the PAR group (P < .05). There was no statistically significant difference in UR between before and 12 months after surgery in the TO group (P > .05). Furthermore, BND increased in the TO group at 12 months after the operation, compared with that at 3 months after the operation (P < .05). There was no significant difference in PVA and UR before the surgery and at 3 and 12 months after the surgery between the 2 groups (P > .05). In addition, BND was significantly smaller in the PAR group than in the TO group at 3 and 12 months after the surgery (P < .05). Third, there was no statistically significant difference in PFIQ-7 and PISG-12 in both groups after surgery.The stability of the pelvic floor structure was better in the PAR group than in the TO group. Furthermore, PAR is better for preventing the occurrence of pelvic floor prolapse and stress urinary incontinence after surgery.

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“…5 El tratamiento de las úlceras isquiáticas requiere de un equipo especializado y un manejo multidisciplinario para promover una cicatrización completa, con una cobertura total y buena perfusión tisular. 6 Por esta razón, hay que tener en cuenta los conceptos de éxito para el tratamiento en las UI, mismos que son: 7…”

Section: Antecedentesunclassified

Variante del colgajo de rotación tipo Hamstring para reconstrucción de úlcera isquiática

Gaucín¹,

Campo²,

Rodríguez³

et al. 2018

Cirugía Plástica

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Pelvic Floor Reconstruction Utilizing a Residual Hamstring Rotational Flap Following Traumatically Induced Subtotal Hemipelvectomy in a Combat Blast Casualty: A Case Report

Cited by 5 publications

References 15 publications

Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report

Reconstruction of the pelvis after traumatically induced bilateral partial hemipelvectomy: a case report

Clinical efficacy of pelvic autologous tissue reconstruction in treating pelvic organ prolapse in 36 patients

Variante del colgajo de rotación tipo Hamstring para reconstrucción de úlcera isquiática

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