Reconstruction of large sacral defects following tumour resection: A report of two cases.

Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defect...

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Main Authors: Cheong, You Wei, Sulaiman, W.A., Halim, A.S.
Format: Article
Language:English
Published: Hong Kong Academy of Medicine Press 2008
Online Access:http://psasir.upm.edu.my/id/eprint/24688/
http://psasir.upm.edu.my/id/eprint/24688/1/Reconstruction%20of%20large%20sacral%20defects%20following%20tumour%20resection.pdf
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author Cheong, You Wei
Sulaiman, W.A.
Halim, A.S.
author_facet Cheong, You Wei
Sulaiman, W.A.
Halim, A.S.
author_sort Cheong, You Wei
building UPM Institutional Repository
collection Online Access
description Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defects were reconstructed following tumour resection. Both defects were reconstructed with inferiorly based, transpelvic, pedicled vertical rectus abdominis myocutaneous flaps. This is a robust flap and carries a well-vascularised muscle bulk and skin paddle. The donor site is distant from the lesion site and is thus unaffected by both the resection and radiotherapy. This is a useful flap for reconstructing large sacral defects.
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spelling upm-246882015-11-23T03:35:54Z http://psasir.upm.edu.my/id/eprint/24688/ Reconstruction of large sacral defects following tumour resection: A report of two cases. Cheong, You Wei Sulaiman, W.A. Halim, A.S. Sacral tumours often present surgical resection and reconstruction challenges. Wide resections result in large sacral defects and neoadjuvant radiotherapy impairs wound healing. The wounds need to be covered with bulky, well-vascularised, healthy tissues. We present 2 cases where large sacral defects were reconstructed following tumour resection. Both defects were reconstructed with inferiorly based, transpelvic, pedicled vertical rectus abdominis myocutaneous flaps. This is a robust flap and carries a well-vascularised muscle bulk and skin paddle. The donor site is distant from the lesion site and is thus unaffected by both the resection and radiotherapy. This is a useful flap for reconstructing large sacral defects. Hong Kong Academy of Medicine Press 2008-12 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24688/1/Reconstruction%20of%20large%20sacral%20defects%20following%20tumour%20resection.pdf Cheong, You Wei and Sulaiman, W.A. and Halim, A.S. (2008) Reconstruction of large sacral defects following tumour resection: A report of two cases. Journal of Orthopaedic Surgery , 16 (3). pp. 351-354. ISSN 1022-5536 http://www.hkam.org.hk/
spellingShingle Cheong, You Wei
Sulaiman, W.A.
Halim, A.S.
Reconstruction of large sacral defects following tumour resection: A report of two cases.
title Reconstruction of large sacral defects following tumour resection: A report of two cases.
title_full Reconstruction of large sacral defects following tumour resection: A report of two cases.
title_fullStr Reconstruction of large sacral defects following tumour resection: A report of two cases.
title_full_unstemmed Reconstruction of large sacral defects following tumour resection: A report of two cases.
title_short Reconstruction of large sacral defects following tumour resection: A report of two cases.
title_sort reconstruction of large sacral defects following tumour resection: a report of two cases.
url http://psasir.upm.edu.my/id/eprint/24688/
http://psasir.upm.edu.my/id/eprint/24688/
http://psasir.upm.edu.my/id/eprint/24688/1/Reconstruction%20of%20large%20sacral%20defects%20following%20tumour%20resection.pdf