Plastic and Reconstructive Surgery in the Treatment of Oncological Perineal and Genital Defects

摘要: Defects of the perineum may result from ablative procedures different malignancies. The evolution more radical excisional surgery techniques resulted in an increase large defects perineum. perineogenital region per se has many functions for urination, bowel evacuation, sexuality, and reproduction. Up-to-date individual interdisciplinary surgical treatment concepts are necessary to provide optimum oncological as well quality life outcome. Not only reconstructive method but also timing reconstruction is crucial. In cases postresectional exposition e.g., pelvic or femoral vessels intrapelvic intra-abdominal organs, simultaneous flap procedure mandatory. particular, armamentarium plastic surgeon should include not pedicled flaps free microsurgical so that no compromise terms extent resection be accepted. For intra-abdominally and/or tumors rectum, anus, female reproductive system, which were resected through abdominally a sacrally access, vertical rectus abdominis myocutaneous (VRAM) recommendable. soft tissue sarcoma pelvic/caudal abdomen/proximal thigh region, two-stage reconstructions possible. This review focuses on perineum, genitals, floor after malignant tumors, giving distinct overview types faced this describing number techniques, especially VRAM like antero-lateral flaps. Finally, outlines some considerations concerning operative steps.