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Combined use of a petal flap and V–Y advancement flap for reconstruction of presacral defects following rectal resection

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Abstract

Background

The aim of this study was to evaluate the efficacy of a combination of flaps for the reconstruction of presacral defects following abdominoperineal resections: a paramedian vertically oriented caudally based lotus petal flap for presacral defects combined with a horizontal V–Y advancement flap for closure of the superficial donor site defect.

Methods

A retrospective study was conducted on patients with a residual defect following an abdominoperineal resection between 2010 and 2017 in the Noordwest Ziekenhuisgroep. The primary endpoint was complications related to the reconstruction.

Results

Twelve patients were included, all reconstructions healed well. Three patients had a grade I or II complication (Clavien Dindo classification).

Conclusions

Use of a petal flap and V–Y advancement flap for reconstruction of presacral defects was found to be safe and simple, and should, therefore, be considered in the management of such problems.

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Funding

The authors state that there was no role of a funding source.

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Authors and Affiliations

  1. Department of plastic and reconstructive surgery, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands

    I. Westra, R. L. Huisinga, F. J. T. van Oosterom & N. Wever

  2. Department of plastic and reconstructive surgery, Department of plastic surgery, Amsterdam Universitair Medische Centra, Amsterdam, The Netherlands

    O. Lapid

  3. Department of surgery, Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands

    M. S. Dunker

Authors
  1. I. Westra
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  2. R. L. Huisinga
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  3. M. S. Dunker
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  4. O. Lapid
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  5. F. J. T. van Oosterom
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  6. N. Wever
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Corresponding author

Correspondence to N. Wever.

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Westra, I., Huisinga, R.L., Dunker, M.S. et al. Combined use of a petal flap and V–Y advancement flap for reconstruction of presacral defects following rectal resection. Tech Coloproctol 24, 593–597 (2020). https://doi.org/10.1007/s10151-020-02204-x

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  • DOI: https://doi.org/10.1007/s10151-020-02204-x

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