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KMID : 1143020190240040402
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Archives of Hand and Microsurgery
2019 Volume.24 No. 4 p.402 ~ p.407
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Radiation Induced Perineo-Coccygeal Defect Coverage with Latissimus Dorsi Musculocutaneous Free Flap
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Oh Jeong-Seok
Jeon Ji-In
Eun Seok-Chan
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Abstract
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Perineal defect reconstruction is usually encountered in oncological conditions, trauma, or infection such as Fournier's gangrene. Reconstructive surgeons face challenges due to the complex structure and diversity of the different tissue and crucial organ components. In addition to innate characteristics, fecal contamination, difficulty of patient position to minimize trauma to the region, and suboptimal conditions for wound healing such as radiotherapy are other burdens to overcome. Common wound complications after perineal reconstruction are caused by remnant dead space, contamination, inadequate soft tissue volume, and chemoradiation-related entities after oncological resection. Classic methods such as direct closure or closure with local, regional, and distant pedicled flaps may often be unsuccessful. Free flap coverage has been reported to be successful, as the transferred tissue is outside the radiation field. We present a rare case of radiation-induced perineo-coccygeal defect covered with a free latissimus dorsi myocutaneous flap after abdominoperineal resection.
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KEYWORD
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Surgical flaps, Wound healing
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