Department of Plastic and Hand Surgery, Erlangen University Hospital, Krankenhausstr. 12, 91054 Erlangen, Germany.
J Plast Reconstr Aesthet Surg. 2012 Dec;65(12):1734-7. doi: 10.1016/j.bjps.2012.04.055. Epub 2012 May 30.
Reliable perineal and posterior vaginal wall restoration following extensive abdominoperineal excision or pelvic exenteration is a reconstructive challenge, especially if the rectus abdominis is unavailable or insufficient for transpelvic transposition. In this short report, we present a novel combined perforator-based technique, in which an inferior gluteal perforator flap is used for perineal reconstruction whereas vaginal reconstruction is performed simultaneously by means of a pudendal artery perforator flap. This procedure circumvents functional muscle loss, permits a tension-free closure of difficult three-dimensional defects and offers a high degree of reconstructive flexibility, which allows a straightforward and independent reconstruction of two different anatomical units.
广泛的腹会阴切除或盆腔脏器切除术（广泛的腹会阴切除术或盆腔廓清术）后，可靠的会阴和阴道后壁重建是一个重建挑战，特别是如果腹直肌不可用或不足以为经盆转位。在这个简短的报告中，我们提出了一种新的联合穿支皮瓣技术，其中使用臀下动脉穿支皮瓣进行会阴重建，而阴道重建则通过阴部动脉穿支皮瓣同时进行。该手术避免了功能肌肉的损失，允许对困难的三维缺陷进行无张力关闭，并提供了高度的重建灵活性，允许对两个不同的解剖单位进行直接和独立的重建。
