A Prospective Assessment of Surgical Risk Factors in 114 Gluteal Fold Flap Reconstructions After Oncological Vulvoperineal Resection.

Abstract:

BACKGROUND AND AIM:To date, clinically relevant selection criteria have not been established for the use of the gluteal fold flap after oncological vulvoperineal resection. We prospectively assessed the surgical risk factors of this reconstructive technique in a large series. METHODOLOGY:From April of 2000 through December of 2015, 114 gluteal fold flaps were used for vulvoperineal reconstruction after excision of (pre)malignant skin disorders in 75 women. The possible influence of 10 patient-related and 6 procedure-related risk factors on flap-related postoperative complications was statistically analyzed. RESULTS:We observed a major complication in 13 flaps (11%) and a minor complication in 19 flaps (17%). Previous radiotherapy (P = 0.01) was associated with significantly more complications, and a rotation flap design rather than VY advancement (P = 0.02) was associated with major complications. Recurrent disease, multifocal tumor localization, incomplete removal of tumor, and bilateral flap procedure were found to be clinically relevant risk factors, but not significantly so. The same applied to recurrence of disease during postoperative follow-up. CONCLUSIONS:We identified surgical risk factors for gluteal fold flap use after oncological vulvoperineal resection. These observations may potentially allow for more favorable future surgical outcomes by adaption of selection of patients or procedure.

journal_name

Ann Plast Surg

authors

Lange M,Hage JJ,van Beurden M

doi

10.1097/SAP.0000000000000964

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

53-59

issue

1

eissn

0148-7043

issn

1536-3708

journal_volume

79

pub_type

杂志文章
  • The Impact of Residents on Patient Satisfaction.

    abstract:BACKGROUND:High-quality physician communication is the foundation for achieving high patient satisfaction. Increasing importance is placed on eliciting feedback from patients. However, there have been few studies looking at the impact of resident involvement on patient satisfaction. Our hospital system values the patie...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001339

    authors: Li SS,Herrick NL,Deshpande RR,Cronin BJ,Reid CM,Brandel MG,Dobke MK,Johnson CA,Gosman AA

    更新日期:2018-05-01 00:00:00

  • Aneurysms of the superficial temporal artery: literature review and case reports.

    abstract::Superficial temporal artery (STA) aneurysms are a medical rarity. There are less than 200 patients reported in the literature. The majority of cases are of traumatic etiology and occur in young men. The senior authors reported a case of STA aneurysm in 1978. We now review the literature and report on three additional ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199806000-00018

    authors: Cheng CA,Southwick EG,Lewis EC 2nd

    更新日期:1998-06-01 00:00:00

  • Splinting After Ear Reconstruction: A Stepwise and Inexpensive Workflow Protocol.

    abstract:BACKGROUND:Long-term postoperative splinting plays a role in the prevention of contracture of the grafted skin after a second-stage ear reconstruction. The scar retraction could lead to an unfavorable aesthetic outcome. Splinting could play a role to overcome or prevent the loss of projection and the obliteration of th...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001212

    authors: Vercruysse H Jr,Green JIJ,Osman G,Harrison B,Miyagi K,Bulstrode NW

    更新日期:2018-04-01 00:00:00

  • Intraoperative lymphatic mapping to treat groin lymphorrhea complicating an elective medial thigh lift.

    abstract::Groin lymphoceles and lymphorrhea are a rare complication of medial thigh lift procedures. The author describes a case in which a very thin patient developed groin lymphorrhea after an uncomplicated medial thigh lift procedure. Initial treatment interventions, including edema control and the placement of a drain with ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200202000-00017

    authors: Stadelmann WK

    更新日期:2002-02-01 00:00:00

  • Outcome of the Modified Meek Technique in the Management of Major Pediatric Burns.

    abstract:INTRODUCTION:The modified Meek micrografting technique has been used in the treatment of severely burned patients and a number of articles have examined the use of the modified Meek technique in adults and in mixed-age groups. However, there is a paucity of research pertaining to the outcome in the pediatric age group....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001565

    authors: Lee SZ,Halim AS,Wan Sulaiman WA,Mat Saad AZ

    更新日期:2018-09-01 00:00:00

  • Seroma and quilting suture at the donor site of the TRAM flap in breast reconstruction: a prospective randomized double-blind clinical trial.

    abstract::Seroma formation at the donor site of the transverse rectus abdominis myocutaneous flap was evaluated in 48 patients who underwent breast reconstruction with either quilting sutures and suction drains (QS+DN group) or quilting sutures alone (QS group) or suction drains alone (DN group). Clinical and ultrasound examina...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SAP.0b013e3182610b11

    authors: Rossetto LA,Garcia EB,Abla LE,Ferreira LM

    更新日期:2014-04-01 00:00:00

  • Hereditary occurrence of lateral cervical fistulas.

    abstract::Three cases of hereditary lateral cervical fistulas are reported. The patients had lateral cervical fistulas bilaterally and different types of auricular malformations. The mothers of the patients also had lateral cervical fistulas. Moreover, one mother had bilateral microtias and the other mothers bilateral preauricu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198805000-00009

    authors: Takato T,Fukuda O

    更新日期:1988-05-01 00:00:00

  • A comparison between proximal lateral leg flap and radial forearm flap for intraoral reconstruction.

    abstract::Free flaps have become a popular option for the reconstruction of intraoral defects. The radial forearm flap used to be the workhorse flap for small and thin defects, but was associated with numerous donor-site morbidities. The proximal lateral leg flap can provide a thin and pliable tissue similar to the radial forea...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000047

    authors: Lee JT,Chen PR,Cheng LF,Wang CH,Wu MS,Huang CC,Chien SH,Hsu H

    更新日期:2013-12-01 00:00:00

  • Gauze Impregnated With Quaternary Ammonium Salt Reduces Bacterial Colonization of Surgical Drains After Breast Reconstruction.

    abstract::Surgical site infection after breast reconstruction is associated with increased length of hospital stay, readmission rates, cost, morbidity, and mortality. Identifying methods to reduce surgical site infection without the use of antibiotics may be beneficial at reducing antimicrobial resistance, reserving the use of ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001420

    authors: Strong AL,Wolfe ET,Shank N,Chaffin AE,Jansen DA

    更新日期:2018-06-01 00:00:00

  • Irreplaceable free flaps in reconstructive surgery--part I.

    abstract::Free flaps are increasingly being chosen to solve complex reconstruction problems. We describe a fascial sleeve approach to elevation of the donor flap which increases its safety and reliability. We report examples in which resultant revascularization of the recipient site causes the free flap to be irreplaceable for ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198212000-00006

    authors: Pearl RM,Hentz VR

    更新日期:1982-12-01 00:00:00

  • Clinical Application of 3-Dimensional Printed Navigation Templates in Treating Femoral Head Osteonecrosis With Pedicled Iliac Bone Graft.

    abstract:OBJECTIVE:The aim of the study was to explore the feasibility and early effect of digital design combined with 3-dimensional (3D) printing technique in the transplantation of vascular pedicled iliac bone flap in the treatment of avascular necrosis of the femoral head. METHODS:The navigation template was designed accor...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002362

    authors: Cai X,Xu Y,Yu K,He X,Luo H,Duan J,Wu Y

    更新日期:2020-05-01 00:00:00

  • Using Mesh to Reinforce the Abdominal Wall in Abdominal Free Flaps for Breast Reconstruction: Is There a Benefit? What are the Risks?

    abstract:INTRODUCTION:Abdominal wall integrity may be compromised after abdominal flap harvest for breast reconstruction, leading to bulging or herniation due to weakening of the abdominal wall and dissection through the rectus muscle. Mesh can be used to reinforce the abdominal wall to reduce the risk of hernia formation posto...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001468

    authors: Leon DS,Nazerali R,Lee GK

    更新日期:2018-05-01 00:00:00

  • Rezoning Free Muscle-Sparing Transverse Rectus Abdominis Myocutaneous Flaps Based on Perforasome Groupings and a New Understanding of the Vascular Architecture of the Deep Inferior Epigastric Artery-Based Flaps.

    abstract:BACKGROUND:We compare the vascular territory of free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps, deep inferior epigastric perforator (DIEP) flaps, and crossover anastomosis (CA) flaps using intraoperative ex vivo angiography. We also use ex vivo angiography to analyze the vascular architect...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001859

    authors: Tan J,Ohjimi H,Takagi S,Kawakami Y,Eto A

    更新日期:2019-12-01 00:00:00

  • Traumatic hemipelvectomy.

    abstract::Traumatic hemipelvectomy is an uncommon and devastating injury with few patients alive when they reach the hospital. There are only 19 reported survivors of this injury. This group includes 17 males and 2 females. All had severe, associated injuries. The mechanism of injury involved motorcycle, automobile, pedestrian/...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199108000-00011

    authors: Klingman RR,Smith P,Stromberg B,Valentine J,Goebel M

    更新日期:1991-08-01 00:00:00

  • Malignant fibrous histiocytoma of the hand: multimodal therapy and extensor tendon reconstruction.

    abstract::A patient with malignant fibrous histiocytoma of the dorsum of the hand, managed with irradiation and wide local excision, is presented. Biopsy technique, the rationale for preoperative irradiation, and the details of extensor tendon reconstruction are discussed. Tendon grafts, rather than transfers, were used to reco...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199811000-00016

    authors: Lohman R,Evans GR

    更新日期:1998-11-01 00:00:00

  • A case study of a patient with closed avulsion rupture of a single slip of the flexor digitorum superficialis tendon.

    abstract::A case of a closed rupture of a single slip of flexor digitorum superficialis to the little finger is described. Closed rupture injuries of the flexor digitorum profundus tendon are quite common, but closed injuries to the superficialis tendon have been rarely reported. A single slip avulsion rupture of this tendon wo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200110000-00012

    authors: Netscher DT,Eladoumikdachi F,Schneider A

    更新日期:2001-10-01 00:00:00

  • Human bites of the face with tissue losses.

    abstract::Human bites of the face are common in Port Harcourt, Nigeria. Twenty-four such patients with tissue losses seen over a period of two years (1983-1985) at the University of Port Harcourt Teaching Hospital were studied. Women in their third decade of life seem to be most at risk; the lips and ears are most frequently bi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198810000-00005

    authors: Datubo-Brown DD

    更新日期:1988-10-01 00:00:00

  • Outcome of Pedicled Thoracodorsal Artery Perforator Flap in the Surgical Treatment of Stage II and III Hidradenitis Suppurativa of Axilla.

    abstract:BACKGROUND:Hidradenitis suppurativa (HS) is a chronic, inflammatory disease affecting the apocrine glands of the axillary, groin, and mammary regions with significant physical and psychosocial sequelae. Surgical excision of the affected tissue is the criterion standard treatment. Advanced cases of axillary HS are assoc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001658

    authors: Elgohary H,Nawar AM,Zidan A,Shoulah AA,Younes MT,Hamed AM

    更新日期:2018-12-01 00:00:00

  • Activation time course of activator protein-1 and effect of proline dithiocarbamate during ischemia-reperfusion in rat skeletal muscle.

    abstract::Activator protein 1 (AP-1) is thought to play an important role in the expression of genes expressed in response to ischemia-reperfusion injury. In this report, the activation of AP-1 in rat skeletal muscle during reperfusion after a 4-hour ischemic period was studied. AP-1 activation displayed a biphasic pattern, sho...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200212000-00016

    authors: Lefler SR,Lille ST,Huemer GM,Tucker R,Murray T,Schoeller T,Mulligan DC

    更新日期:2002-12-01 00:00:00

  • The oblique mastectomy incision: advantages and outcomes.

    abstract::Mastectomy has traditionally been performed using a transverse elliptical incision. The disadvantages of this approach are a potentially visible scar medially and poor subincisional soft-tissue coverage of implants laterally. A more natural and aesthetic result is obtained with an oblique incision running parallel to ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000119

    authors: Gronet EM,Halvorson EG

    更新日期:2014-01-01 00:00:00

  • Deep dissection plane for endoscopic-assisted comminuted malar fracture repair.

    abstract::Endoscopic technique has been used in the management of comminuted malar fractures. However, the reported dissection plane is close to the frontal branch of the facial nerve, and paralysis of the frontal muscle is sometimes noted postoperatively. From January 1998 to November 2001, 42 patients underwent endoscopic-ass...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200211000-00002

    authors: Lee SS,Lin SD,Chiu YT,Tsai CC,Lin TM,Chang KP

    更新日期:2002-11-01 00:00:00

  • Free scalp flap surgery.

    abstract::This paper describes a new method of creating a natural anterior hairline using microsurgical free scalp flaps. This operative method is a one-stage procedure and the new hairline has normal hair density and natural hair direction. The donor flap is raised mainly from the parietooccipital portion of the scalp. The met...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198007000-00004

    authors: Ohmori K

    更新日期:1980-07-01 00:00:00

  • Portable Color-Flow Ultrasound Facilitates Precision Flap Planning and Perforator Selection in Reconstructive Plastic Surgery.

    abstract:BACKGROUND:Precise flap planning and perforator selection are paramount for successful perforator flap surgery. Portable color-flow ultrasound (PCFU) is a convenient, low-cost, easily accessible imaging modality that is pivotal in the planning of perforator flaps where anatomic variability is the rule. METHODS:Perfora...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000002203

    authors: Homsy C,McCarthy ME,Lim S,Lindsey JT Jr,Sands TT,Lindsey JT Sr

    更新日期:2020-06-01 00:00:00

  • Breast necrosis following use of the internal mammary artery for coronary artery bypass.

    abstract::Coronary artery bypass grafting is a common surgical procedure for myocardial revascularization. This operation usually involves the use of the left internal mammary artery to bypass the left anterior descending coronary artery. The internal mammary artery and its perforators are also an important blood supply to the ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000141597.38288.3c

    authors: Gonyon DL Jr,Zenn MR,Milano CA,Levin LS

    更新日期:2005-01-01 00:00:00

  • Flexor pollicis brevis adductorplasty: an alternative method in ulnar nerve paralysis.

    abstract::Loss of pinch power associated with loss of coordinated movement of thumb and index fingers is the major disability in patients with ulnar nerve paralysis. Several tendon transfer methods utilizing different donor muscles have been used to restore adductor pollicis muscle function in ulnar nerve paralysis. In this pap...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000209028.11153.be

    authors: Uraloğlu M,Orbay H,Açar HI,Sensöz O

    更新日期:2006-07-01 00:00:00

  • Nipple-Sparing Mastectomy Improves Long-Term Nipple But Not Skin Sensation After Breast Reconstruction: Quantification of Long-Term Sensation in Nipple Sparing Versus Non-nipple Sparing Mastectomy.

    abstract:BACKGROUND:Changes in breast sensation after reconstruction are expected. Return of breast sensation after reconstruction and whether nipple-sparing mastectomy offers a substantial benefit in terms of sensation has been inconsistently documented in the literature. We conducted the current study using the pressure-speci...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000900

    authors: Rodriguez-Unda NA,Bello RJ,Clarke-Pearson EM,Sanyal A,Cooney CM,Manahan MA,Rosson GD

    更新日期:2017-06-01 00:00:00

  • Approaches to Distal Upper-Extremity Trauma: A Comparison of Plastic, Orthopedic, and Hand Surgeons in Academic Practice.

    abstract:BACKGROUND:Hand trauma call duties at university medical centers are traditionally split among plastic surgeons and orthopedic surgeons, frequently without additional fellowship training in hand and upper-extremity surgery. Differences in operative approach between these groups have never been specifically described. T...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000804

    authors: Dasari CR,Sandhu M,Wisner DH,Wong MS

    更新日期:2016-05-01 00:00:00

  • Effectiveness of silicone sheets in the prevention of hypertrophic breast scars.

    abstract::A clinical study was designed in which 20 women who were to undergo bilateral McKissock reduction mammaplasties were requested to use a precut silicone elastomer sheet over the scars of one breast, starting at the time of suture removal. The patients were instructed to use the silicone sheet for 12 hours each day for ...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000637-199610000-00001

    authors: Cruz-Korchin NI

    更新日期:1996-10-01 00:00:00

  • Breast Reconstruction: A Century of Controversies and Progress.

    abstract::Breast cancer treatment has dramatically changed over the past century. Since Halsted's first description of radical mastectomy in 1882, breast reconstruction has evolved slowly from being considered as a useless or even dangerous procedure by surgeons to the possibility nowadays of reconstructing almost any kind of d...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/SAP.0000000000001312

    authors: Homsy A,Rüegg E,Montandon D,Vlastos G,Modarressi A,Pittet B

    更新日期:2018-04-01 00:00:00

  • Acquired digital fibrokeratoma: a case report.

    abstract::Acquired digital fibrokeratomas are benign, rare tumors that develop most commonly on the fingers. They can have an appearance of a rudimentary supernumerary digit or be misdiagnosed as a more common condition, such as verruca vulgaris. There are no case reports described in the plastic surgery literature. We are repo...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182996ee6

    authors: Yu D,Morgan RF

    更新日期:2015-03-01 00:00:00