PR41PRECONSTRUCTIVE SURGERY FOR PELVIC EXENTERATION IN ADVANCED MALIGNANCY

Extended radical pelvic resection for advanced primary or recurrent pelvic malignancy is an increasingly common procedure in major colorectal units. Aggressive pre operative chemo-radio therapy creates a cohort of patients with difficult reconstructive variables. We review our plastic surgical recon...

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Bibliographic Details
Published in:ANZ journal of surgery 2009-05, Vol.79 (s1), p.A62-A62
Main Authors: Phang, K. L., Creagh, T., Frizelle, F.
Format: Article
Language:English
Subjects:
Clinical outcomes
Colorectal cancer
Plastic surgery
Skin & tissue grafts
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Summary:Extended radical pelvic resection for advanced primary or recurrent pelvic malignancy is an increasingly common procedure in major colorectal units. Aggressive pre operative chemo-radio therapy creates a cohort of patients with difficult reconstructive variables. We review our plastic surgical reconstructions in this highly heterogeneous population. Utilizing the coding system at our institution we identified a cohort of patients whom underwent Vertical Rectus Abdominis Musculocutaneous (VRAM) reconstruction for exenterative pelvic surgery. A thorough retrospective case note analysis was performed specifically looking at three variable subsets. Demographic data and peri-operative care Reconstructive surgical procedures and complications Tumour variables and patient survival outcomes Statistical analysis of the patient cohort and subsets will be presented This study has demonstrated the versatility of the VRAM flap in obtaining a stable and supple reconstructive cover in advanced pelvic malignancy surgery. Our series confirms strong support for immediate VRAM reconstruction in all pelvic exenterative procedures. We have shown patients undergoing multi-visceral resection after prior chemo-radiotherapy can achieve early, healed and stable perineal closure with low morbidity. [PUBLICATION ABSTRACT]
ISSN:1445-1433
1445-2197
DOI:10.1111/j.1445-2197.2009.04927_41.x