Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice

Non-healing extensive wounds in the perineal region can lead to severe soft tissue infections and disastrous complications, which are not manageable with conservative measures. Specifically in recurrent or advanced pelvic malignancies, irradiation often leads to extensive scarring and wound breakdow...

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Autores principales:	Raymund E. Horch, Ingo Ludolph, Andreas Arkudas, Aijia Cai
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	perineal reconstruction VRAM flap neourethra urethral reconstruction Medicine R
Acceso en línea:	https://doaj.org/article/b8876b5a4af043159a541bd00c9e3b5d
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spelling	oai:doaj.org-article:b8876b5a4af043159a541bd00c9e3b5d2021-11-25T18:06:56ZPersonalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice10.3390/jpm111110762075-4426https://doaj.org/article/b8876b5a4af043159a541bd00c9e3b5d2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1076https://doaj.org/toc/2075-4426Non-healing extensive wounds in the perineal region can lead to severe soft tissue infections and disastrous complications, which are not manageable with conservative measures. Specifically in recurrent or advanced pelvic malignancies, irradiation often leads to extensive scarring and wound breakdown, resulting in significant soft tissue defects during surgical tumor excision. Among several surgical options to reconstruct the perineum, the transpelvic vertical rectus abdominis myocutaneous (VRAM) flap has proven to be one of the most reliable methods. Specific modifications of this flap allow an individualized procedure depending on the patient’s needs. We modified this technique to include the urethral orifice into the skin paddle of VRAM flaps in three patients as a novel option to circumvent urinary diversion and maintain an acceptable quality of life.Raymund E. HorchIngo LudolphAndreas ArkudasAijia CaiMDPI AGarticleperineal reconstructionVRAM flapneourethraurethral reconstructionMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1076, p 1076 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	perineal reconstruction VRAM flap neourethra urethral reconstruction Medicine R
spellingShingle	perineal reconstruction VRAM flap neourethra urethral reconstruction Medicine R Raymund E. Horch Ingo Ludolph Andreas Arkudas Aijia Cai Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
description	Non-healing extensive wounds in the perineal region can lead to severe soft tissue infections and disastrous complications, which are not manageable with conservative measures. Specifically in recurrent or advanced pelvic malignancies, irradiation often leads to extensive scarring and wound breakdown, resulting in significant soft tissue defects during surgical tumor excision. Among several surgical options to reconstruct the perineum, the transpelvic vertical rectus abdominis myocutaneous (VRAM) flap has proven to be one of the most reliable methods. Specific modifications of this flap allow an individualized procedure depending on the patient’s needs. We modified this technique to include the urethral orifice into the skin paddle of VRAM flaps in three patients as a novel option to circumvent urinary diversion and maintain an acceptable quality of life.
format	article
author	Raymund E. Horch Ingo Ludolph Andreas Arkudas Aijia Cai
author_facet	Raymund E. Horch Ingo Ludolph Andreas Arkudas Aijia Cai
author_sort	Raymund E. Horch
title	Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
title_short	Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
title_full	Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
title_fullStr	Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
title_full_unstemmed	Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice
title_sort	personalized reconstruction of genital defects in complicated wounds with vertical rectus abdominis myocutaneous flaps including urethral neo-orifice
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b8876b5a4af043159a541bd00c9e3b5d
work_keys_str_mv	AT raymundehorch personalizedreconstructionofgenitaldefectsincomplicatedwoundswithverticalrectusabdominismyocutaneousflapsincludingurethralneoorifice AT ingoludolph personalizedreconstructionofgenitaldefectsincomplicatedwoundswithverticalrectusabdominismyocutaneousflapsincludingurethralneoorifice AT andreasarkudas personalizedreconstructionofgenitaldefectsincomplicatedwoundswithverticalrectusabdominismyocutaneousflapsincludingurethralneoorifice AT aijiacai personalizedreconstructionofgenitaldefectsincomplicatedwoundswithverticalrectusabdominismyocutaneousflapsincludingurethralneoorifice
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Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice

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