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Aho J, Winocour S, Hammoudeh ZS, et al. Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available. Case Rep Surg. 2015;2015:563641doi: 10.1155/2015/563641.
Aho, J., Winocour, S., Hammoudeh, Z. S., Nelson, H., Rose, P., & Tran, N. V. (2015). Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available. Case reports in surgery, 2015563641. https://doi.org/10.1155/2015/563641
Aho, Johnathon, et al. "Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available." Case reports in surgery vol. 2015 (2015): 563641. doi: https://doi.org/10.1155/2015/563641
Aho J, Winocour S, Hammoudeh ZS, Nelson H, Rose P, Tran NV. Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available. Case Rep Surg. 2015;2015:563641. doi: 10.1155/2015/563641. Epub 2015 Nov 24. PMID: 26688771; PMCID: PMC4672142.
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Case Rep Surg. 2015;2015:563641. doi: 10.1155/2015/563641. Epub 2015 Nov 24.

Seromuscular Colonic Flap for Intrapelvic Soft-Tissue Coverage: A Reconstructive Option for Plastic Surgeons When Traditionally Used Flaps Are Not Available.

Case reports in surgery

Johnathon Aho, Sebastian Winocour, Ziyad S Hammoudeh, Heidi Nelson, Peter Rose, Nho V Tran

Affiliations

  1. Division of Plastic Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
  2. Division of Colorectal Surgery, Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
  3. Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.

PMID: 26688771 PMCID: PMC4672142 DOI: 10.1155/2015/563641

Abstract

Background. Reconstruction of intrapelvic defects can be a challenging problem in patients with limited regional muscle flap options and previously resected omentum. In such situations, alternative methods of mobilizing vascularized tissue may be required. Methods. A case of a patient that underwent pelvic extirpation for recurrent rectal cancer who had limited donor sites for flap reconstruction is presented. The mucosa was removed from a blind loop of colon, and a pedicled seromuscular flap based on the colonic mesentery was placed into the pelvis for vascularized soft-tissue coverage and elimination of dead space. Results. The postoperative course was only complicated by a small subcutaneous fluid collection beneath the sacrectomy skin incision, which was drained with radiological assistance. The patient recovered without any major postoperative complications. Conclusion. Seromuscular colonic flap is a useful option for soft-tissue coverage after pelvic extirpation and should be considered by plastic surgeons when other reconstruction options are not available.

References

  1. Int Urol Nephrol. 2004;36(4):567-71 - PubMed
  2. Br J Surg. 2005 Apr;92(4):482-6 - PubMed
  3. J Am Coll Surg. 2008 Apr;206(4):694-703 - PubMed
  4. Plast Reconstr Surg. 2009 Jan;123(1):175-83 - PubMed
  5. Int J Gynecol Cancer. 2007 Jan-Feb;17(1):298-303 - PubMed
  6. Urology. 1981 Mar;17(3):223-7 - PubMed
  7. Tech Coloproctol. 2012 Oct;16(5):373-8 - PubMed
  8. Ann Surg Oncol. 1999 Jan-Feb;6(1):33-7 - PubMed

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