Reconstruction in the Lower Abdomen (Bladder Region), Buttocks, Groin and Perineum

概要

論文の詳細を見る
91 reconstructions in 80 patients in the lower abdomen (bladder region), buttocks, groin, perineum and their adjacent regions were experienced for the past 15 years with satisfactory results except 4 ones. Mesh skin grafts, cutaneous flaps and musculocutaneous flaps were applied in 51, 19 and 20 regions respectively. A total leg flap was utilized in one patient who sustained a severe degloving injury. A wide or en-bloc excision of the tumor or diseased lesion, or a thorough debridement of the ulcerated wound, based on the preoperative acurate plan, was the most important maneuver, associated with the adequate urinary and/or fecal control. Reconstructive techniques in each surgical defect or chronic wound should be decided according to a reconstructive ladder-progressing from simple to more complex procedures. The second or salvage operative procedure should always be in due consideration of minor to irreparable results of the first operation. A long-term follow-up is also necessary for the protection against the complicated postoperative problems.
北里大学の論文
1988-06-30