Arch Hand Microsurg 2019; 24(4): 402-407  
Radiation Induced Perineo-Coccygeal Defect Coverage with Latissimus Dorsi Musculocutaneous Free Flap
Jeongseok Oh, Ji-In Jeon, Seokchan Eun
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Correspondence to: Seokchan Eun
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 13620, Korea
TEL: +82-31-787-7223, FAX: +82-31-787-4055, E-mail: sceun@snu.ac.kr, ORCID: https://orcid.org/0000-0003-4372-6955
Received: September 6, 2019; Revised: October 4, 2019; Accepted: October 28, 2019; Published online: December 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords: Surgical flaps, Wound healing


This Article

e-submission

Archives of J Korean Soc Surg Hand

Archives of ARMS

Archives

Indexed/Covered by