Kiterjesztett abdominoperinealis rectumexstirpatiót követő gáttájéki rekonstrukció verticalis rectus abdominis myocutan (VRAM) lebennyel Perineal soft-tissue reconstruction with vertical rectus abdominis myocutan (VRAM) flap following extended abdomino-perineal resection for cancer

作者: Ledniczky György , Lóderer Zoltán , István Gábor , Bognár Gábor , Ondrejka Pál

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摘要: Az anorectalis regio daganatai miatt vegzett abdominoperinealis exstirpatiot (APE) kovető perinealis sebgyogyulasi zavarok komoly kihivast jelentenek a sebesz szamara. A sebgyogyulas koruli szovődmenyek csokkenteset celzo sebeszi lehetősegek koze tartozik myocutan lebennyel valo rekonstrukcio is. Cikkunk irodalmi attekintest nyujt az exstripatiot verticalis rectus abdominis (VRAM) rekonstrukciok eredmenyeiről. kombinalt neoadjuvans radio-kemoterapia elterjedese es radikalitas kiterjesztesenek lehetősege olyan kettős kockazattal jar, melynek csokkentesere hasznos lehetőseg colorectalis plasztikai egyuttműkodese. Kulcsszavak: lebeny, rekonstrukcio, exstirpatio, vegbelrak Perineal wound healing problems following extended abdomino-perineal resection of ano-rectal cancer represent great challenge to the surgeon. soft-tissue reconstruction with flap was thought reduce surgical complications. review relevant literature carried out on perineal rectal for cancer. The more commonly used neoadjuvant chemo- and radiotherapy as well radicality resulted in increased perioperative risks, therefore combined procedures between colorectal plastic teams are inevitable. This case report illustrates above trend.

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