Vulva reconstruction after pelvic exenteration, using a unique combination of two flaps

A surgical multi-layer technique for pelvic reconstruction after total exenteration using a combination of pedicled omental flap, human acellular dermal matrix and autologous adipose derived cells

•A multi-layer technique for reconstruction after pelvic exenteration is proposed.•Human acellular dermal matrix used in reconstruction after total pelvic exenteration.•A reconstructive technique based on human dermis, omental flap and fat is proposed.

Pelvic Exenteration: Surgical Approaches

Although the incidence of local recurrence after curative resection of rectal cancer has decreased due to the understanding of the anatomy of pelvic structures and the adoption of total mesorectal excision, local recurrence in the pelvis still remains a significant and troublesome complication. While surgery for recurrent rectal cancer may offer a chance for a cure, conservative management, inc...

Total Pelvic Exenteration

expanded in the last years. Published data has demonstrated the feasibility and safety of this technique for several several gynecologic oncology procedures. Main advantages when compared to open approach are less blood loss, decreased morbidity, shorter hospital stay, and earlier recovery. Tumor dissemination and port site implantation have been described for patients undergoing operative lapa...

Pelvic Exenteration in Gynecologic Cancer

Background: Pelvic exenteration is an ultraradical surgery involving the en bloc resection of the pelvic organs, including the internal reproductive organs, the distal urinary tract (ureters, bladder, urethra), and/or anorectum. It is mainly applied as a salvage surgery for recurrent gynecologic tumors of any origin (vulva, vagina, cervix, uterine, and also ovary). Our aim was to establish the ...

Stacked PAP Flaps for Two-Stage Immediate Bilateral Breast Reconstruction: A Case Report