Weichman Katie E, Matros Evan, Disa Joseph J
New York and Bronx, N.Y.
From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center; and the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein School of Medicine.
Plast Reconstr Surg. 2017 Oct;140(4):601e-612e. doi: 10.1097/PRS.0000000000003703.
After studying this article, the participant should be able to: 1. Understand the anatomy of the peripelvic area. 2. Understand the advantages and disadvantages of performing peripelvic reconstruction in patients undergoing oncologic resection. 3. Select the appropriate local, pedicled, or free-flap reconstruction based on the location of the defect and donor-site characteristics.
Peripelvic reconstruction most commonly occurs in the setting of oncologic ablative surgery. The peripelvic area contains several distinct reconstructive regions, including vagina, vulva, penis, and scrotum. Each area provides unique reconstructive considerations. In addition, prior or future radiation therapy or chemotherapy along with cancer cachexia can increase the complexity of reconstruction.
在学习本文后，参与者应能够：1. 了解盆腔周围区域的解剖结构。2. 了解在接受肿瘤切除的患者中进行盆腔周围重建的优缺点。3. 根据缺损部位和供区特征选择合适的局部、带蒂或游离皮瓣重建方式。
盆腔周围重建最常见于肿瘤切除手术中。盆腔周围区域包含几个不同的重建区域，包括阴道、外阴、阴茎和阴囊。每个区域都有独特的重建考量因素。此外，先前或未来的放疗或化疗以及癌症恶病质会增加重建的复杂性。
