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A New Technique for Pelvic and Vaginal Reconstruction in Abdominoperineal Rectal Excision : Combination of Gluteus Maximus Flap and Fasciocutaneous Flap

Assi, Hanin LU ; Guné, Henrik LU orcid ; Buchwald, Pamela LU ; Lagergren, Jakob ; Lydrup, Marie Louise LU and Öberg, Martin LU (2023) In Plastic and Reconstructive Surgery - Global Open 11(10). p.5317-5317
Abstract

Resection of advanced rectal cancer might result in significant tissue loss, including pelvic floor and parts of the vaginal wall. Pelvic floor reconstruction using a musculocutaneous flap offers optimized healing abilities and the possibility of vaginal reconstruction. In Skåne University Hospital, two different flap techniques are used to reconstruct the perineum: the vertical rectus abdominis musculocutaneous flap and the gluteus maximus (GM) flap. A combination of a GM flap and a fasciocutanous flap, referred to locally as a GM special (GMS) flap, is used for posterior vaginal wall reconstruction in women undergoing abdominoperineal resections including parts of or the total posterior vaginal wall. The GMS flap was introduced... (More)

Resection of advanced rectal cancer might result in significant tissue loss, including pelvic floor and parts of the vaginal wall. Pelvic floor reconstruction using a musculocutaneous flap offers optimized healing abilities and the possibility of vaginal reconstruction. In Skåne University Hospital, two different flap techniques are used to reconstruct the perineum: the vertical rectus abdominis musculocutaneous flap and the gluteus maximus (GM) flap. A combination of a GM flap and a fasciocutanous flap, referred to locally as a GM special (GMS) flap, is used for posterior vaginal wall reconstruction in women undergoing abdominoperineal resections including parts of or the total posterior vaginal wall. The GMS flap was introduced through a national collaboration in Sweden in 2013. The aim of this article is to offer a detailed description and illustrations of the surgical technique used to construct the GMS flap, focusing on the posterior vaginal wall reconstruction. In our experience, the GMS flap is a resilient and cosmetically appealing choice that is technically easily harvested. The flap has acceptable morbidity and long-term results with adequate neovaginal measurements. Collaborative work is further encouraged.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic and Reconstructive Surgery - Global Open
volume
11
issue
10
pages
5317 - 5317
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85175656382
  • pmid:37817923
ISSN
2169-7574
DOI
10.1097/GOX.0000000000005317
language
English
LU publication?
yes
id
4cc8d6d9-eb7d-41fa-bd88-647aed0270fa
date added to LUP
2023-11-24 11:39:07
date last changed
2025-01-14 17:13:27
@article{4cc8d6d9-eb7d-41fa-bd88-647aed0270fa,
  abstract     = {{<p>Resection of advanced rectal cancer might result in significant tissue loss, including pelvic floor and parts of the vaginal wall. Pelvic floor reconstruction using a musculocutaneous flap offers optimized healing abilities and the possibility of vaginal reconstruction. In Skåne University Hospital, two different flap techniques are used to reconstruct the perineum: the vertical rectus abdominis musculocutaneous flap and the gluteus maximus (GM) flap. A combination of a GM flap and a fasciocutanous flap, referred to locally as a GM special (GMS) flap, is used for posterior vaginal wall reconstruction in women undergoing abdominoperineal resections including parts of or the total posterior vaginal wall. The GMS flap was introduced through a national collaboration in Sweden in 2013. The aim of this article is to offer a detailed description and illustrations of the surgical technique used to construct the GMS flap, focusing on the posterior vaginal wall reconstruction. In our experience, the GMS flap is a resilient and cosmetically appealing choice that is technically easily harvested. The flap has acceptable morbidity and long-term results with adequate neovaginal measurements. Collaborative work is further encouraged.</p>}},
  author       = {{Assi, Hanin and Guné, Henrik and Buchwald, Pamela and Lagergren, Jakob and Lydrup, Marie Louise and Öberg, Martin}},
  issn         = {{2169-7574}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{5317--5317}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Plastic and Reconstructive Surgery - Global Open}},
  title        = {{A New Technique for Pelvic and Vaginal Reconstruction in Abdominoperineal Rectal Excision : Combination of Gluteus Maximus Flap and Fasciocutaneous Flap}},
  url          = {{http://dx.doi.org/10.1097/GOX.0000000000005317}},
  doi          = {{10.1097/GOX.0000000000005317}},
  volume       = {{11}},
  year         = {{2023}},
}