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Perineal Surgery: A Novel Use for the Keller Funnel
Salomon Puyana1,2, Hooman H Hajebian1, Kevin Kresofsky1,2
1Department of Plastic and Reconstructive Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Eplasty
|December 8, 2022
Summary
Radiation therapy can impact tissues after anterior perineal resection. The Keller Funnel offers benefits for pelvic reconstruction, especially with narrow pelvic inlets, and flap viability is crucial.
Area of Science:
- Reconstructive surgery
- Radiation oncology
- Pelvic surgery
Background:
- Anterior perineal resection (APR) for pelvic malignancies can result in significant tissue defects.
- Vertical rectus abdominis myocutaneous (VRAM) flaps are utilized for reconstruction after APR.
- Radiation therapy is often used in conjunction with APR, potentially affecting local tissues and flap outcomes.
Keywords:
Keller Funnelanterior perineal resectionnarrow pelvic inletvertical rectus abdominis myocutaneous flap
