Abstract:
:Perineal and posterior vaginal wall reconstruction following abdominoperineal and local cancer resection entails replacement of volume between the perineum and sacrum and restoration of a functional vagina. Ideal local reconstructive options include those which avoid functional muscle sacrifice, do not interfere with colostomy formation, and avoid the use of irradiated tissue. In avoiding the donor site morbidity of other options, we describe a fasciocutaneous option for the reconstruction of the perineum and posterior vaginal wall. We present our technique of superior and inferior gluteal artery perforator (SGAP or IGAP) flaps to reconstruct such defects. Fourteen patients between 2004 and 2008 underwent 11 SGAP and three IGAP flaps. There were no flap failures or partial flap losses and no postoperative hernias. All female patients reported resumption of sexual intercourse following this procedure. Our experience in both the immediate and delayed setting is that this technique produces a good functional outcome with low donor-site morbidity.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Wagstaff MJ,Rozen WM,Whitaker IS,Enajat M,Audolfsson T,Acosta Rdoi
10.1002/micr.20663subject
Has Abstractpub_date
2009-01-01 00:00:00pages
626-9issue
8eissn
0738-1085issn
1098-2752journal_volume
29pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::The effect of hyperbaric oxygen (HBO) on the survival rate of experimental rat pedicle island flaps with arterial, venous, and combined arteriovenous insufficiency was evaluated. Forty male Wistar rats with pedicle island flaps were divided into four groups with different types of vascular status. Another 40 male Wist...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22004
更新日期:2002-01-01 00:00:00
abstract::Little is known about the fate of graft cells following vascularized bone allografting. This study was conducted to define the process of graft-cell repopulation with recipient cells. Sixty-five vascularized tibial bone and 50 limb allotransplantations were performed in rat sex-mismatched pairs. FK 506 was used for im...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20173
更新日期:2005-01-01 00:00:00
abstract::We report a novel one-stage technique of total hepatectomy in the rat, in which the liver is replaced by an autologous prosthesis. This prosthesis is obtained from a donor rat, and consists of the subhepatic vena cava and the left renal vein harvested en block. This graft is sutured with the subdiaphragmatic cava and ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160711
更新日期:1995-01-01 00:00:00
abstract::Several technical advances over the years have allowed microsurgery to be successful. However, thrombosis, particularly at the anastomosis site, remains a complication of microvascular surgery. Various preventive measures, including drugs, have been used to improve microvascular surgical anastomotic patency rates. The...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.1920150905
更新日期:1994-01-01 00:00:00
abstract::A severe microarterial trauma (arteriotomy/intimectomy) was introduced to the central arteries of rabbit ears. Twenty-one patent vessels, 3 at each interval of 2 hours, 1, 3, 7, 14, 30, and 90 days after reperfusion were taken for light and scanning electron microscopy studies. These vessels remained patent at all tim...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150208
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:This study was conducted to investigate the correlation between the number of vascularized lymph nodes (LN) transferred and resolution of hind limb lymphedema in a rat model. METHODS:Unilateral hind limb lymphedema was created in 18 male Sprague-Dawley rats following inguinal and popliteal LN resection and rad...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22388
更新日期:2016-03-01 00:00:00
abstract::Perivascular sympathectomy, which has been used for vasospastic disorders of the hands, was examined in experimental models. Perivascular sympathectomy was performed on the central ear vessels and forepaw metacarpal vessels of the rabbit and on the common digital vessels in the monkey. The effects on adrenergic nerves...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150113
更新日期:1994-01-01 00:00:00
abstract::The creation of a distal arteriovenous fistula for haemodialysis is made easier by using preventive haemostasis with an inflatable tourniquet. Preventive haemostasis reduces the duration of the surgery and reduces the arterial spasm provoked by the dissection. When microsurgical techniques and preventive haemostasis a...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140709
更新日期:1993-01-01 00:00:00
abstract::Tendocutaneous free flap transfer has been used to treat troublesome wounds involving skin and tendons, with the dorsum of the foot being the most frequent donor site. Free flaps consist of the dorsalis pedis artery, saphenous vein, branch of the superficial peroneal nerve, long extensor tendons, and overlying skin. W...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920151211
更新日期:1994-01-01 00:00:00
abstract::Femoral nerve lesions are uncommon, but very distressing at the functional level because of the absence of knee locking mechanism by the quadriceps muscle. We propose here a new neurotization procedure of obturator nerve motor branches to the motor portion of the femoral nerve in the thigh. This study was conducted on...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22012
更新日期:2012-09-01 00:00:00
abstract::It is clear that the late clinical symptomatology and the patency of forearm arterial repairs have been contradictory. This study, during which the relationship between the symptomatology and patency has been studied, explores the influence of the local hemodynamic changes and the effect of microsurgical technique on ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1006
更新日期:2001-01-01 00:00:00
abstract::Nerve regeneration using artificial biodegradable conduits is of increasing interest. The aim of this study is to evaluate the regeneration and maturation of a nerve after long-term implantation (2 years) of a biodegradable poly-L-lactide/poly-epsilon-caprolactone (PLLA/PCL) copolymeric nerve guide in the sciatic nerv...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920140808
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Nerve regeneration involves multiple processes, which enhance blood supply that can be promoted by growth factors. Currently, tools are lacking to visualize the vascularization patterns in transplanted nerves in vivo. The purpose of this study was to describe three-dimensional visualization of the vascular...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30537
更新日期:2020-03-01 00:00:00
abstract::The bridging of nerve gaps is still one of the major problems in peripheral nerve surgery. The present experiment describes our attempt to engineer different biologic nerve grafts in a rat sciatic nerve model: cultured isogenic Schwann cells were implanted into 2-cm autologous acellular nerve grafts or autologous pred...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10056
更新日期:2002-01-01 00:00:00
abstract::The secondary lymphedema of the upper limb (post-mastectomy lymphedema) has an incidence, in patients who underwent axillary lymphadenectomy for breast cancer, between 5 to 25%, up to 40% after radiotherapic treatment. We studied 50 patients treated for breast cancer. The patients were divided in two groups of 25 each...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20215
更新日期:2006-01-01 00:00:00
abstract::The purpose of this study was to investigate the feasibility of rapid intraoperative elongation of the rat sciatic nerve with the use of tissue expander and to assess its functional recovery. Out of 51 rats 43 had their right sciatic nerve expanded with a 5-ml intraoperative expander over 1 hr and 8 were sham-operated...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(SICI)1098-2752(1996)17:10<568::AID-MICR7>
更新日期:1996-01-01 00:00:00
abstract::Various methods have been described in the literature to manage vascular discrepancies. In the head and neck area, where small recipient vessels are the rule, a reliable technique is needed to safely perform the anastomosis. During the past 10 years, we have carried out research (de la Peña et al., Transactions of the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/1098-2752(2000)20:4<193::aid-micr9>3.0.co;
更新日期:2000-01-01 00:00:00
abstract::The authors report on a series of experiments designed to produce a skeletal muscle contraction functional for dynamic myoplasties. Conventional stimulation techniques recruit all or most of the muscle fibers simultaneously and with maximal strength. This approach has limitations in free dynamic muscle flap transfers ...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.1052
更新日期:2001-01-01 00:00:00
abstract::This experimental study investigates the feasibility of pretreating the abdominal skin of a rat with subdermal injections of adenovirus encoding angiopoietin-1 in order to improve postoperative survival of the skin flap. An epigastric skin flap was used as the model in this study. Rats received subdermal injections of...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10140
更新日期:2003-01-01 00:00:00
abstract::The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150406
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:In a vessel-depleted neck, distant recipient sites may be the only option for secondary free flap reconstruction. While interposition vein grafts and arteriovenous loops can bridge the gap between the recipient and donor pedicle, they are not without risks. In these scenarios, we examinate the reliablity of ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30259
更新日期:2018-09-01 00:00:00
abstract::Ischemia/reperfusion (I/R) injury is a multifactorial process that affects liver function after transplantation and resectional surgery. Alterations in hepatic microcirculation and decreased hepatic flow can cause local hypoxia and consequently liver damage, which is worsened by reperfusion. The aim of this study was ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20206
更新日期:2006-01-01 00:00:00
abstract::Severe injuries at foot and ankle level with loss of soft tissues and bone are often treated by means of amputation. The transfer of composite free flaps from various donor sites may provide anatomical reconstruction of the foot and ankle and function. Ten patients who sustained severe combined tissue injuries of the ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20863
更新日期:2011-03-01 00:00:00
abstract::Morphometric evaluation of the fetal intestinal graft in the late post-transplant period was done by using C57BL/6 mice. Under anesthesia, after hysterotomy, a transversal laparotomy was done in the fetus to harvest all intestines. Grafts, cleaned from its mesentery, and divided were transplanted into the preperitoneu...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20356
更新日期:2007-01-01 00:00:00
abstract::Reconstruction of complex back defects is challenging for reconstructive surgeons, as it should preserve function, provide adequate coverage, and minimize morbidity. We present a case of multiple-step reconstruction after resection of a large squamous cell carcinoma recurrence in a 68-year-old man, with local perforat...
journal_title:Microsurgery
pub_type:
doi:10.1002/micr.30615
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:The growing elderly population necessitates a greater number of aging patients requiring complex reconstructive surgery involving free tissue transfer. The purpose of this study was to assess the safety, efficacy, and outcomes of microsurgical free tissue transfer in elderly patients using a national multi-i...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30189
更新日期:2017-11-01 00:00:00
abstract::Observation of circulation in replanted severed fingers often relies on the clinical experience of the doctor. This article discusses nail fold capillary loops (NFCL) observation in the monitoring of the perfusion and circumfluence of replanted digits. In our study, 30 patients with a total of 39 replanted digits were...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20445
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:In the lower leg posttraumatic pathology, we are frequently confronted with tissue defects that are difficult to cover by local or distance means, because of either the poor tissue quality or the precarious local vessels. One of the still available methods for solving these cases remains the cross-leg flap. ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20375
更新日期:2007-01-01 00:00:00
abstract::Soft tissue defects of the distal lower extremities are challenging. The purpose of this paper is to present our experiences with the free peroneal artery perforator flap for the reconstruction of soft tissue defects of the distal lower extremity. Nine free peroneal artery perforator flaps were used to reconstruct sof...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22290
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Plantar toe ulcers are a challenging surgical problem. There are several methods for reconstruction, but no attention has been given to the preservation of sensation. This report proposes a method to provide protective sensation for the reconstructed area. PATIENTS AND METHODS:The ulcers of seven patients r...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30306
更新日期:2018-09-01 00:00:00