A surgical technique for buttockectomy

Area of Science:

• Surgical Oncology
• Anatomy

Background:

• Buttockectomy is a surgical procedure for gluteal tumors.
• It involves the en bloc resection of the gluteus maximus muscle.

Purpose of the Study:

• To describe the surgical technique of buttockectomy.
• To highlight key anatomical considerations and potential complications.

Main Methods:

• Wide skin incision and flap creation to expose the gluteus maximus.
• Identification and tracing of muscle origins and insertions.
• Sequential release of muscle attachments (clockwise for left, counterclockwise for right).
• Careful identification and ligation of superior and inferior gluteal vessels.
• Protection of the sciatic nerve during dissection.
• Application of suction drainage and consideration of retention sutures for skin closure.

Main Results:

• The described technique allows for complete en bloc resection of the gluteus maximus muscle.
• Meticulous surgical steps ensure preservation of critical neurovascular structures.
• Effective wound management with suction drainage promotes flap adherence.

Conclusions:

• Buttockectomy is a viable surgical option for gluteal malignancies encompassed by the gluteus maximus.
• Adherence to detailed anatomical landmarks and procedural steps is crucial for successful outcomes.
• The technique emphasizes safe resection while minimizing risks to the sciatic nerve and gluteal vessels.