지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한창상학회 Journal of Wound Management and Research Journal of Wound Management and Research Vol.16 No.1
- 발행연도
- 2020.1
- 수록면
- 53 - 55 (3page)
이용수
초록· 키워드
오류제보하기
Partial sacrectomy is a common treatment for sacral sarcomas, which often results in a large defect and exposed rectal wall. The defect could be covered using a gluteus maximus (GM) advancement flap. However, seroma and wound dehiscence are often observed after GM advancement flap coverage, delaying the wound healing process. We present a case of buried superior gluteal artery perforator (SGAP) flap following GM muscle splitting. An 11-year-old male patient with epithelioid sarcoma in the sacrum underwent partial sacrectomy. The sacral defect size was 9×6 cm, and the GM muscle was intact. We designed a 7×4-cm elliptically-shaped SGAP flap skin paddle, after which perforator dissection was performed underneath the GM muscle. To minimize dead space, the GM muscle was split and the flap was de-epithelized and advanced to the posterior rectal wall. There were no wound complications during admission and the patient was discharged on postoperative day 16. No atrophy of the flap was found on postoperative magnetic resonance imaging, either. This case demonstrates that using a buried SGAP flap for covering dead space could be a good surgical method to cover wide sacral defects.
목차
등록된 정보가 없습니다.
참고문헌 (5)
참고문헌 신청
Maricevich M / 2014 / Reconstruction following partial and total sacrectomy defects : an analysis of outcomes and complications / J Plast Reconstr Aesthet Surg 67:1257~1266
Di Mauro D / 2009 / V-Y Bilateral gluteus maximus myocutaneous advancement flap in the reconstruction of large perineal defects after resection of pelvic malignancies / Colorectal Dis 11:508~512
Daigeler A / 2011 / The versatility of the pedicled vertical rectus abdominis myocutaneous flap in oncologic patients / Langenbecks Arch Surg 396:1271~1279
Kim JE / 2015 / Soft-tissue reconstruction after total en bloc sacrectomy / J Neurosurg Spine 22:571~581
Glatt BS / 2006 / Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap / Ann Plast Surg 56:526~530
Di Mauro D / 2009 / V-Y Bilateral gluteus maximus myocutaneous advancement flap in the reconstruction of large perineal defects after resection of pelvic malignancies / Colorectal Dis 11:508~512
Daigeler A / 2011 / The versatility of the pedicled vertical rectus abdominis myocutaneous flap in oncologic patients / Langenbecks Arch Surg 396:1271~1279
Kim JE / 2015 / Soft-tissue reconstruction after total en bloc sacrectomy / J Neurosurg Spine 22:571~581
Glatt BS / 2006 / Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap / Ann Plast Surg 56:526~530
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