Wolfram Demmer, Verena Alt, Sinan Mert, Tim Nuernberger, Nikolaus Wachtel, Konrad Karcz, Riccardo E Giunta, Denis Ehrl
BACKGROUND: In the event of an advanced rectal carcinoma, an evisceration with rectal amputation may become necessary. The resulting defects, due to their extent, depth, or local tissue damage from previous surgeries and radiation, can in many cases only be closed through free microvascular tissue transfer. In this case series, we demonstrate the successful combination of a musculocutaneous musculus vastus lateralis flap (MVL) with a direct connection to the superior gluteal artery. MATERIALS AND METHODS: Over a 47-month period, we retrospectively examined 11 cases of patients with dorsal pelvic defects after evisceration and rectal amputation that could not be closed using local or regional means...
April 22, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie