J.Jpn. Surg. Soc.. 88(9): 1180-1183, 1987

---

Report on the annual meeting

PLASTIC SURGERY IN AID OF AGGRESSIVE RESECTIVE TREATMENT FOR LOCALLY ADVANCED OR RECURRENT CANCER OF THE PELVIC AND PERINEAL ORGANS

After extensive resection of the pelvic or perineal structures reconstructive surgery with myocutaneous or muscle flaps using gluteus or gracilis muscles were performed successfully on ten patients. Primary sites of cancer were one vaginae, two vulva, one anal canal and six rectums. Eight of the ten patients had had intensive irradiation before the resective surgery. Types of resective surgery were one vulvectomy, one abdomino-perineal resection with resection of the perineal skin, one posterior pelvic exenteration, six total pelvic exenterations and one total exenteration with total vulvectomy and bilateral inguinal dissection. Target wounds of the plastic surgery were fresh or old and contaminated intra-pelvic dead space, radiation induced ulcer or massive skin defect. Of those cases with containated dead space in the pelvis, two were accompanied with urinary fistula and another one with fecal fistula. In four cases, resective surgery and plastic procedures were carried out in one stage, because huge defective wounds were reconstructable only with myocutaneous graft technique. On the other hand, in six cases with contaminated dead space reconstructive surgery were performed secondarily to resective surgery for the purpose of controlling the infection and promoting the wound healing.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.