Reconstruction of large sacral defects following tumour resection: A report of two cases.
Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defect...
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Hong Kong Academy of Medicine Press
2008
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my.upm.eprints.246882015-11-23T03:35:54Z http://psasir.upm.edu.my/id/eprint/24688/ Reconstruction of large sacral defects following tumour resection: A report of two cases. Cheong, You Wei Sulaiman, W.A. Halim, A.S. Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defects were reconstructed following tumour resection. Both defects were reconstructed with inferiorly based, transpelvic, pedicled vertical rectus abdominis myocutaneous flaps. This is a robust flap and carries a well-vascularised muscle bulk and skin paddle. The donor site is distant from the lesion site and is thus unaffected by both the resection and radiotherapy. This is a useful flap for reconstructing large sacral defects. Hong Kong Academy of Medicine Press 2008-12 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24688/1/Reconstruction%20of%20large%20sacral%20defects%20following%20tumour%20resection.pdf Cheong, You Wei and Sulaiman, W.A. and Halim, A.S. (2008) Reconstruction of large sacral defects following tumour resection: A report of two cases. Journal of Orthopaedic Surgery , 16 (3). pp. 351-354. ISSN 1022-5536 http://www.hkam.org.hk/ |
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Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defects were reconstructed following tumour resection. Both defects were reconstructed with inferiorly based, transpelvic, pedicled vertical rectus abdominis myocutaneous flaps. This is a robust flap and carries a well-vascularised muscle bulk and skin paddle. The donor site is distant from the lesion site and is thus unaffected by both the resection and radiotherapy. This is a useful flap for reconstructing large sacral defects.
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Article |
author |
Cheong, You Wei Sulaiman, W.A. Halim, A.S. |
spellingShingle |
Cheong, You Wei Sulaiman, W.A. Halim, A.S. Reconstruction of large sacral defects following tumour resection: A report of two cases. |
author_facet |
Cheong, You Wei Sulaiman, W.A. Halim, A.S. |
author_sort |
Cheong, You Wei |
title |
Reconstruction of large sacral defects following tumour resection: A report of two cases. |
title_short |
Reconstruction of large sacral defects following tumour resection: A report of two cases. |
title_full |
Reconstruction of large sacral defects following tumour resection: A report of two cases. |
title_fullStr |
Reconstruction of large sacral defects following tumour resection: A report of two cases. |
title_full_unstemmed |
Reconstruction of large sacral defects following tumour resection: A report of two cases. |
title_sort |
reconstruction of large sacral defects following tumour resection: a report of two cases. |
publisher |
Hong Kong Academy of Medicine Press |
publishDate |
2008 |
url |
http://psasir.upm.edu.my/id/eprint/24688/1/Reconstruction%20of%20large%20sacral%20defects%20following%20tumour%20resection.pdf http://psasir.upm.edu.my/id/eprint/24688/ http://www.hkam.org.hk/ |
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1643828436100186112 |
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13.211869 |