Bender Richard, Schäller Sebastian, Taskin Berivan, Al-Malat Tarek, Knorr Sven, Wilhelm Thomas, Mannil Lijo
St. Vinzenz-Hospital, Plastische und Ästhetische Chirurgie.
St. Vinzenz-Hospital, Allgemein- und Viszeralchirurgie.
Handchir Mikrochir Plast Chir. 2022 Apr;54(2):167-171. doi: 10.1055/a-1548-6696. Epub 2021 Sep 23.
Plastic reconstructions of oncological anorectal defects often prove to be very difficult and lead to prolonged hospitalisation due to severe bacterial contamination, neoadjuvant radiotherapy and chemotherapy and difficult anatomical conditions. There is no common standard for plastic reconstruction in such cases. We present a patient diagnosed with distal rectal cancer with infiltration of the anus and vagina, who underwent radical tumour resection of the rectum and anus as well as partial resection of the vagina. A severe necrotising infection occurred post-surgery, which resulted in an extensive defect of the pelvis and perineal region. This article provides a retrospective clinical evaluation and photographic documentation of the reconstruction of the vagina, pelvis and perineal region with a bilateral gracilis and gluteus muscle flap.
肿瘤性肛管直肠缺损的整形重建往往非常困难，由于严重的细菌污染、新辅助放疗和化疗以及解剖条件复杂，会导致住院时间延长。在这种情况下，没有整形重建的通用标准。我们报告一例诊断为远端直肠癌并侵犯肛门和阴道的患者，该患者接受了直肠和肛门的根治性肿瘤切除以及阴道部分切除。术后发生了严重的坏死性感染，导致骨盆和会阴区域出现广泛缺损。本文提供了使用双侧股薄肌和臀肌皮瓣重建阴道、骨盆和会阴区域的回顾性临床评估和照片记录。
