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Complex abdominal-perineal reconstruction: options after pelvic bone resection

G R Evans¹, D P Goldberg, F C Ames

¹Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, USA.

Plastic and Reconstructive Surgery

|September 1, 1996

Summary

Reconstructing complex abdominal-perineal defects after tumor removal, especially with pelvic bone resection, requires advanced techniques. This study reviews using synthetic mesh and soft tissue for pelvic reconstruction and visceral protection.

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Area of Science:

Plastic Surgery
Surgical Oncology
Reconstructive Surgery

Background:

Abdominal-perineal wound reconstruction after tumor extirpation is complex.
Resection of the bony pelvis significantly complicates reconstructive options.

Observation:

Two cases involving complex abdominal-perineal reconstruction are presented.
These cases utilized synthetic mesh for pelvic ring and floor reconstruction.
Soft tissue flaps were employed to protect intraabdominal viscera.

Findings:

A combined approach using synthetic mesh and soft tissue provides a viable solution for complex pelvic defects.
This technique addresses both structural integrity of the pelvic floor and protection of internal organs.

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Implications:

This reconstructive strategy offers a method for managing challenging post-oncologic resections in the abdominal-perineal region.
Further review of techniques and patient approaches can optimize outcomes in similar cases.