Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Scand J Surg. 2013;102(1):25-31. doi: 10.1177/145749691310200106.
Perineogenital and pelvic surgery is challenging due to the complex anatomy and physiology, multi-organ involvement and microbial environment of this region. In reconstructive surgery local and pedicled flaps are usually applicable. Microvascular flaps are rarely needed. Positioning of the scars, tension in the wound edges and pressure conditions must be taken into account, because failed correction may create more functional and aesthetic problems as the defect itself. This brief review focuses on the reconstructive methods of perineum, genitals and pelvic floor, site by site, with special emphasis on functional details.
由于该区域的复杂解剖结构和生理学、多器官受累以及微生物环境，会阴部和骨盆手术极具挑战性。在重建手术中，通常适用局部和带蒂皮瓣。很少需要使用微血管皮瓣。必须考虑到疤痕的位置、伤口边缘的张力和压力条件，因为失败的矫正可能会产生更多的功能和美学问题，就像缺陷本身一样。这篇简要的综述专注于会阴、生殖器和骨盆底的重建方法，逐个部位进行介绍，并特别强调功能细节。
