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Dassoulas KR, Hedrick TL, Campbell CA. Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection. Plast Reconstr Surg Glob Open. 2017;5(9):e1500doi: 10.1097/GOX.0000000000001500.
Dassoulas, K. R., Hedrick, T. L., & Campbell, C. A. (2017). Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection. Plastic and reconstructive surgery. Global open, 5(9), e1500. https://doi.org/10.1097/GOX.0000000000001500
Dassoulas, Kasandra R, et al. "Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection." Plastic and reconstructive surgery. Global open vol. 5,9 (2017): e1500. doi: https://doi.org/10.1097/GOX.0000000000001500
Dassoulas KR, Hedrick TL, Campbell CA. Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection. Plast Reconstr Surg Glob Open. 2017 Sep 19;5(9):e1500. doi: 10.1097/GOX.0000000000001500. eCollection 2017 Sep. PMID: 29062664; PMCID: PMC5640370.
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Plast Reconstr Surg Glob Open. 2017 Sep 19;5(9):e1500. doi: 10.1097/GOX.0000000000001500. eCollection 2017 Sep.

Combined Gluteus and Pudendal Thigh Flap Reconstruction of Vaginal Defects following Robotic Abdominoperineal Resection.

Plastic and reconstructive surgery. Global open

Kasandra R Dassoulas, Traci L Hedrick, Chris A Campbell

Affiliations

  1. Department of Plastic and Reconstructive Surgery, University of Virginia Health System, Charlottesville, Va.; and Division of Surgical Oncology, Department of General Surgery, University of Virginia Health System, Charlottesville, Va.

PMID: 29062664 PMCID: PMC5640370 DOI: 10.1097/GOX.0000000000001500

Abstract

Low-lying rectal cancers are being treated more frequently with robotic-assisted abdominoperineal resection, obviating the need for laparotomy and the ability to raise vertical rectus abdominis musculocutaneous flaps. For female patients, posterior vaginectomy often accompanies the resection. Combined pudendal thigh flaps as an extension of bilateral gluteus advancement flaps allow for posterior vaginal resurfacing with thin pliable fasciocutaneous flaps, which rest on the gluteal flap soft-tissue bulk that obliterates the pelvic dead space. For patients with advanced cancers who have had neoadjuvant chemoradiation, the pudendal skin paddle can be planned more laterally to bring in healthier medial thigh skin. The donor incisions lie within the gluteal cleft and crease and groin creases recapitulating normal perineal anatomy and aesthetics.

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