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V-Y island flaps for repair of large perianal defects
- Source :
- The American Journal of Surgery. 181:363-365
- Publication Year :
- 2001
- Publisher :
- Elsevier BV, 2001.
-
Abstract
- Background: Some perianal diseases such as Paget disease and Bowen disease are extensive and require a wide circumferential excision including the entire anoderm of the anal canal. Methods: We describe a technique of V-Y island flaps to cover the large perianal defects and the denuded anal canal. It is important to excise the base of the flaps in order to fit them into the anal canal. Results: There were 10 women and 5 men with an average age of 54 years (range 32 to 77). The mean follow-up was 45 months (range 6 to 92). The underlying pathology included various kinds of neoplastic and nonneoplastic diseases. There were no major complications such as flap loss or infection. Most complications were minor, including superficial wound separation, flap hematoma, and anal stricture. Although initially all patients had some degree of incontinence for gas and liquid stool or discharge, none of them had significant fecal incontinence at the time of last follow-up. A diverting ileostomy or colostomy was created in 5 patients. Its role was not clear but it did help in the management of the wounds and minimized the pain.
- Subjects :
- Adult
Male
medicine.medical_specialty
Skin Neoplasms
medicine.medical_treatment
Anal Canal
Island Flaps
Surgical Flaps
Postoperative Complications
Hematoma
medicine
Humans
Fecal incontinence
Aged
Anus Diseases
business.industry
Colostomy
General Medicine
Middle Aged
Plastic Surgery Procedures
Anal canal
Anus Neoplasms
Anus
medicine.disease
Surgery
Paget Disease, Extramammary
medicine.anatomical_structure
Female
medicine.symptom
business
Anal stricture
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 181
- Database :
- OpenAIRE
- Journal :
- The American Journal of Surgery
- Accession number :
- edsair.doi.dedup.....d34bf20536a780a21eee40558319b485