Perforator flaps: a new option in perineal reconstruction

Sinna, R.; Qassemyar, Q.; Benhaim, T.; Lauzanne, P.; Sabbagh, Charles; Régimbeau, Jean‐Marc; Mauvais, F.

doi:10.1016/j.bjps.2010.07.012

Cited by 65 publications

(44 citation statements)

References 51 publications

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“…Surgical options comprise primary or secondary wound closure, skin grafting, local advancement flaps, fasciocutaneous flaps, muscle flaps, myocutaneous flaps or perforator flaps. [56789101112] The choice of wound management should be determined by the general condition of the patient, the size, location and severity of the defects and the availability of local tissue.…”

Section: Discussionmentioning

confidence: 99%

Successful combined approach to a severe fournier’s gangrene

Agostini

Mori

Perello

et al. 2014

Indian J Plast Surg

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We present a case of a successful reconstruction of a severe Fournier's gangrene (FG) involving the scrotum, the perineum, the right ischial area and extended to the lower abdomen. There are many different surgical techniques to repair and reconstruct the defect following debridement in FG. The authors treated this complex wound using negative pressure wound therapy (NPWT), dermal regeneration template and a split-thickness skin graft. Complete recovery was achieved and no major complications were observed. The patient showed a satisfying functional and aesthetic result.

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Section: Discussionmentioning

confidence: 99%

Successful combined approach to a severe fournier’s gangrene

Agostini

Mori

Perello

et al. 2014

Indian J Plast Surg

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“…20,21 Indeed, recent publications have highlighted the benefit of perforator flaps for pelviperineal reconstructions. 22,23 The posteriorly rotated lotus petal flap is presented as the ideal solution for small or medium defects in the area, but few specific clinical series have been published to date.…”

Section: Discussionmentioning

confidence: 99%

Posterior perineal reconstructions with “supra-fascial” lotus petal flaps

Bodin¹,

Dissaux²,

Seigle-Murandi³

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Local tissue perfusion is increased and oedema fluid is removed with harmful exudates, bacteria and cytokines. 4,6,9 NPWT increases wound stabilisation, facilitating patient mobility, 10,11 while preventing shear and may be more comfortable than conventional dressings as well improving split skin graft take. 7 Maintaining an airtight seal in the perineum is challenging, and catheters and bowel management systems can be helpful.…”

Section: Secondary Intention Healingmentioning

confidence: 99%

“…10,20 Thigh flaps are robust, and can provide abundant skin and muscle. Donor site morbidity is minimal provided direct closure is possible.…”

Section: Thigh Flapsmentioning

confidence: 99%

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Reconstruction of perineal defects

Mughal

Muneer

et al. 2013

annals

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Introduction Perineal defects are commonly encountered in an oncological setting although they may also present as a result of trauma and infection (eg following Fournier’s gangrene). Reconstruction of these poses functional as well as aesthetic challenges. Skin coverage and tissue volume may both be required in addition to anogenital preservation or reconstruction. General prerequisites of an adequate reconstruction of perineal defects include provision of skin cover, well vascularised tissue to fill the dead space (reducing fluid collection and infection), vulvovaginal reconstruction and no faecal or urinary contamination. Methods A literature search was performed using PubMed and MEDLINE®. The search terms included ‘perineal defects’, ‘perineal reconstruction’, ‘perforator flaps for perineum’, ‘vulval flaps’, ‘secondary healing of wound’ and ‘vacuum assisted closure’. Backward chaining of reference lists from retrieved papers was also used to expand the search. Findings Modern developments have led to an increased expectation in improved quality of life as the main goal of reconstruction, therefore necessitating surgery with less morbidity and early return to normal activity. Progress in microsurgical procedures has been the main recent advance in perineal reconstruction and, in future, refinements in perforator flap design and tissue engineering techniques will lead to even better reconstructions.

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Perforator flaps: a new option in perineal reconstruction

Cited by 65 publications

References 51 publications

Successful combined approach to a severe fournier’s gangrene

Successful combined approach to a severe fournier’s gangrene

Posterior perineal reconstructions with “supra-fascial” lotus petal flaps

Reconstruction of perineal defects

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