Perineal and posterior vaginal wall reconstruction with superior and inferior gluteal artery perforator flaps.

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

Microsurgery

journal_title

Microsurgery

authors

Wagstaff MJ,Rozen WM,Whitaker IS,Enajat M,Audolfsson T,Acosta R

doi

10.1002/micr.20663

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

626-9

issue

8

eissn

0738-1085

issn

1098-2752

journal_volume

29

pub_type

杂志文章
  • Effect of hyperbaric oxygen on pedicle flaps with compromised circulation.

    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

    authors: Ulkür E,Yüksel F,Açikel C,Celiköz B

    更新日期:2002-01-01 00:00:00

  • Gradual graft-cell repopulation with recipient cells following vascularized bone and limb allotransplantation.

    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

    authors: Muramatsu K,Kurokawa Y,Kuriyama R,Taguchi T,Bishop AT

    更新日期:2005-01-01 00:00:00

  • Technique of total hepatectomy in the rat.

    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

    authors: Lorenzo M,Angrisani L,Ventriglia R,Ismail T,Tesauro B

    更新日期:1995-01-01 00:00:00

  • Current status of topical antithrombotic agents in microvascular surgery.

    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

    authors: Das SK,Miller JH

    更新日期:1994-01-01 00:00:00

  • Healing of a severe microarterial trauma: an experimental study.

    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

    authors: Zhang B,Wieslander JB

    更新日期:1994-01-01 00:00:00

  • Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats.

    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

    authors: Nguyen DH,Chou PY,Hsieh YH,Momeni A,Fang YH,Patel KM,Yang CY,Cheng MH

    更新日期:2016-03-01 00:00:00

  • Short communication: distal adrenergic innervation remains normal after perivascular sympathectomy.

    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

    authors: Kaarela OI,Raatikainen TK,Junila JA,Waris TH

    更新日期:1994-01-01 00:00:00

  • Preventive haemostasis with an inflatable tourniquet for microsurgical distal arteriovenous fistulas for haemodialysis.

    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

    authors: Bourquelot PD

    更新日期:1993-01-01 00:00:00

  • Tendocutaneous free flap transfer from the dorsum of the foot.

    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

    authors: Lee KS,Park SW,Kim HY

    更新日期:1994-01-01 00:00:00

  • Transfer of two motor branches of the anterior obturator nerve to the motor portion of the femoral nerve: an anatomical feasibility study.

    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

    authors: Goubier JN,Teboul F,Yeo S

    更新日期:2012-09-01 00:00:00

  • Multifactorial effects on the patency rates of forearm arterial repairs.

    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

    authors: Bacakoğlu A,Ozkan MH,Coşkunol E,Ozdemir O,Ekin A

    更新日期:2001-01-01 00:00:00

  • Long-term evaluation of nerve regeneration in a biodegradable nerve guide.

    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

    authors: Den Dunnen WF,Van der Lei B,Schakenraad JM,Blaauw EH,Stokroos I,Pennings AJ,Robinson PH

    更新日期:1993-01-01 00:00:00

  • New methods for objective angiogenesis evaluation of rat nerves using microcomputed tomography scanning and conventional photography.

    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

    authors: Saffari TM,Mathot F,Bishop AT,Shin AY

    更新日期:2020-03-01 00:00:00

  • Reconstruction of peripheral nerves using acellular nerve grafts with implanted cultured Schwann cells.

    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

    authors: Frerichs O,Fansa H,Schicht C,Wolf G,Schneider W,Keilhoff G

    更新日期:2002-01-01 00:00:00

  • Is there a role for microsurgery in the prevention of arm lymphedema secondary to breast cancer treatment?

    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

    authors: Campisi C,Davini D,Bellini C,Taddei G,Villa G,Fulcheri E,Zilli A,da Rin E,Eretta C,Boccardo F

    更新日期:2006-01-01 00:00:00

  • Functional assessment of the rat sciatic nerve following intraoperative expansion: the effect of recovery duration on behavioural, neurophysiological, and morphological measures.

    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>

    authors: Beris AE,Naka KK,Skopelitou A,Kosta I,Vragalas V,Konitsiotis S,Bontioti E,Soucacos PN

    更新日期:1996-01-01 00:00:00

  • Sleeve anastomosis in head and neck reconstruction.

    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;

    authors: de la Peña-Salcedo JA,López-Monjardin H

    更新日期:2000-01-01 00:00:00

  • Re-animation of muscle flaps for improved function in dynamic myoplasty.

    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

    authors: Stremel RW,Zonnevijlle ED

    更新日期:2001-01-01 00:00:00

  • Adenovirus-mediated angiopoietin-1 gene therapy enhances skin flap survival.

    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

    authors: Jung H,Gurunluoglu R,Scharpf J,Siemionow M

    更新日期:2003-01-01 00:00:00

  • The place of the iliac crest in vascularized oromandibular reconstruction.

    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

    authors: Boyd JB

    更新日期:1994-01-01 00:00:00

  • The radial forearm free flap as a "vascular bridge" for secondary microsurgical head and neck reconstruction in a vessel-depleted neck.

    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

    authors: Ciudad P,Agko M,Date S,Chang WL,Manrique OJ,Huang TCT,Lo Torto F,Trignano E,Chen HC

    更新日期:2018-09-01 00:00:00

  • Heme oxygenase 1 expression in postischemic reperfusion liver damage: effect of L-arginine.

    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

    authors: Lanteri R,Acquaviva R,Di Giacomo C,Caltabiano R,Li Destri G,Vanella L,Santangelo M,Lanzafame S,Di Cataldo A

    更新日期:2006-01-01 00:00:00

  • Microvascular reconstructions of traumatic-combined tissue loss at foot and ankle level.

    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

    authors: Battiston B,Antonini A,Tos P,Daghino W,Massazza G,Riccio M

    更新日期:2011-03-01 00:00:00

  • Late transplantation period of mice fetal intestine grafts: morphometric aspects.

    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

    authors: Saldanha De Almeida CE,Artigiani R,Ferreira De Oliveira K,Riboli Navarro PG,Montero EF

    更新日期:2007-01-01 00:00:00

  • Reverse-flow latissimus dorsi myocutaneous flap in a multi-step approach for complex back defect reconstruction: A case report.

    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

    authors: Menichini G,Lucattelli E,Innocenti A,Brogi M,Cipriani F,Innocenti M

    更新日期:2020-07-01 00:00:00

  • The effect of age on microsurgical free flap outcomes: An analysis of 5,951 cases.

    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

    authors: Jubbal KT,Zavlin D,Suliman A

    更新日期:2017-11-01 00:00:00

  • Nail fold capillary observation in replanted severed fingers.

    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

    authors: Lu W,Wang D,Liu L,Xiong J,He Q

    更新日期:2008-01-01 00:00:00

  • Cross-leg tibial posterior perforator flap.

    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

    authors: Georgescu AV,Irina C,Ileana M

    更新日期:2007-01-01 00:00:00

  • Reconstruction of distal lower extremities defect using the free peroneal artery perforator vessel based flap.

    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

    authors: Ozkan O,Ozkan O,Cinpolat A,Bektas G

    更新日期:2014-11-01 00:00:00

  • Reconstruction of the plantar toe with a distal reverse instep sensory island flap.

    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

    authors: Hosseinian MA,Gharibi Loron A,Nemati Honar B

    更新日期:2018-09-01 00:00:00