Prevention of complications following pelvic exenteration with the use of mammary implants in the pelvic cavity: Technique and results of 28 cases

Mario Valle; Orietta Federici; Pasquale Ialongo; Franco Graziano; Alfredo Garofalo

doi:10.1002/jso.21716

Prevention of complications following pelvic exenteration with the use of mammary implants in the pelvic cavity: Technique and results of 28 cases

Journal of Surgical Oncology ◽

10.1002/jso.21716 ◽

2010 ◽

Vol 103 (1) ◽

pp. 34-38 ◽

Cited By ~ 12

Author(s):

Mario Valle ◽

Orietta Federici ◽

Pasquale Ialongo ◽

Franco Graziano ◽

Alfredo Garofalo

Keyword(s):

Pelvic Exenteration ◽

Pelvic Cavity ◽

Mammary Implants

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Reconstruction of the pelvis and perineum with a free latissimus dorsi myocutaneous flap: a case report

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13373405387537 ◽

2012 ◽

Vol 94 (8) ◽

pp. e23-e25 ◽

Cited By ~ 3

Author(s):

I Kieran ◽

N Nugent ◽

M Ó Riordain ◽

J Kelly

Keyword(s):

Latissimus Dorsi ◽

Pelvic Exenteration ◽

Recurrent Disease ◽

Ileal Conduit ◽

Myocutaneous Flap ◽

Pelvic Cavity ◽

Latissimus Dorsi Myocutaneous Flap ◽

End Colostomy ◽

Perineal Defect ◽

Difficult Challenge

Reconstruction of the perineum and pelvic cavity in continuity is an uncommon and difficult challenge. This case describes a 66-year-old man who presented following recurrence of a Dukes’ B rectosigmoid adenocarcinoma that had been treated nine years previously by anterior resection, 5-fluorouracil and radiotherapy. His recurrent disease was treated with radical pelvic exenteration with formation of an end colostomy and urinary ileal conduit. A post-operative pelvic collection necessitated incisional drainage via the perineum. This resulted in a perineal defect in continuity with the pelvic cavity, neither of which healed in spite of alternate day packing with antiseptic dressings. The perineum and cavity were reconstructed successfully with a microvascular transfer of the latissimus dorsi using the primary gracilis pedicle as recipient donor vessels.

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