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  • 1 II. sz. Sebészeti Klinika, Semmelweis Egyetem, 1125, Budapest, Kútvölgyi út 4.
  • 2 Sebészeti Osztály, Veszprém Megyei Csolnoky Ferenc Kórház, Veszprém
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Absztrakt

Az anorectalis régió daganatai miatt végzett abdominoperinealis exstirpatiót (APE) követő perinealis sebgyógyulási zavarok komoly kihívást jelentenek a sebész számára. A sebgyógyulás körüli szövődmények csökkentését célzó sebészi lehetőségek közé tartozik a myocutan lebennyel való perinealis rekonstrukció is. Cikkünk irodalmi áttekintést nyújt az abdominoperinealis exstripatiót követő verticalis rectus abdominis myocutan (VRAM) lebennyel végzett perinealis rekonstrukciók eredményeiről. A kombinált neoadjuváns radio-kemoterápia elterjedése és a sebészi radikalitás kiterjesztésének lehetősége olyan kettős kockázattal jár, melynek csökkentésére hasznos lehetőség a colorectalis és a plasztikai sebész együttműködése.

  • 1. NM Roth MR Sontag MF Kiani 1999 Early effects of ionizing radiation on the microvascular networks in normal tissue Radiat Res 151 270 7.

    • Search Google Scholar
    • Export Citation
  • 2. MJ Moore 1984 The effect of radiation on connective tissue Otolaryngol Clin North Am 17 389 99.

  • 3. KM Bullard JL Trudel NN Baxter DA Rothenberger 2005 Primary perineal wound closure after preoperative radiotherapy and abdomioperineal resection has a high incidence of wound failure Dis Colon Rectum 48 438 43.

    • Search Google Scholar
    • Export Citation
  • 4. MA Chadwick D Vieten E Pettitt AR Dixon AM Roe 2006 Short course preoperative radiotherapy is the single most important risk factor for perineal wound complications after abdominoperineal excision of the rectum Colorectal Dis 8 756 61.

    • Search Google Scholar
    • Export Citation
  • 5. A Nissan JG Guillem PB Paty W Douglas Wong B Minsky L Saltz AM Cohen 2001 Abdominoperineal resection for rectal cancer at a speciality center Dis Colon Rectum 44 27 35.

    • Search Google Scholar
    • Export Citation
  • 6. L Rosen MC Veidenheimer JA Coller ML Corman 1982 Mortality, morbidity and patterns of reccurence after abdominoperineal resection for cancer of the rectum Dis Colon Rectum 25 202 8.

    • Search Google Scholar
    • Export Citation
  • 7. CW Pollard S Nivatvongs A Rojanasakul DM Ilstrup 1994 Carcinoma of the rectum. Profiles of intraoperative and early postoperative complications Dis Colon Rectum 37 866 74.

    • Search Google Scholar
    • Export Citation
  • 8. DA Rothenberger WD Wong 1992 Abdominoperineal resection for adenocarcinoma of the low rectum World J Surg 16 478 85.

  • 9. JB So MT Palmer PC Shellito 1997 Postoperative perineal hernia Dis Colon Rectum 40 954 7.

  • 10. HS Shukla LE Hughes 1984 The rectus abdominis flap for perineal wounds Ann R Coll Surg Engl 66 337 9.

  • 11. JB McCraw FM Massey KD Shanklin CE Horton 1976 Vaginal reconstruction with gracilis myocutaneous flaps Plast Reconstr Surg 58 176 83.

    • Search Google Scholar
    • Export Citation
  • 12. A Shaw JW Futrell 1978 Cure of chronic perineal sinus with gluteus maximus flap Surg Gynecol Obstet 147 417 20.

  • 13. EW Buchel S Finical C Johson 2004 Pelvic reconstruction using vertical rectus abdominis musculocutaneous flaps Ann Plast Surg 52 22 6.

    • Search Google Scholar
    • Export Citation
  • 14. DN D'Souza M Pera H Nelson SJ Finical NV Tran 2003 Vaginal reconstruction following resection of primary locally advanced and recurrent colorectal malignancies Arch Surg 138 1340 3.

    • Search Google Scholar
    • Export Citation
  • 15. R Bakx JJ van Lanschot FA Zoetmulder 2004 Inferiorly based rectus abdominis myocutaneous flaps in surgical oncology: indications, technique and experience in 37 patients J Surg Oncol 85 93 7.

    • Search Google Scholar
    • Export Citation
  • 16. G Houvenaeghel L Ghouti V Moutardier M Buttarelli B Lelong JR Delpero 2005 Rectus abdominis myocutaneous flap in radical oncopelvic surgery: a safe and useful procedure Eur J Surg Oncol 31 1185 90.

    • Search Google Scholar
    • Export Citation
  • 17. AK Jain AJ DeFranzo MW Marks BW Loggie S Lentz 1997 Reconstruction of pelvic exenterative wounds with transpelvic rectus abdominis flaps: a case series Ann Plast Surg 38 115 22.

    • Search Google Scholar
    • Export Citation
  • 18. SS Kroll R Pollock Jm Jessup D Ota 1989 Transpelvic rectus abdominis flap reconstruction of defects following abdominal.perineal resection Am Surg 55 632 7.

    • Search Google Scholar
    • Export Citation
  • 19. SJ Loessin NB Meland RM Devine BG Wolff H Nelson H Zincke 1995 Management of sacral and perineal defects following abdominoperineal resection and radiation with transpelvic muscle flaps Dis Colon Rectum 38 940 5.

    • Search Google Scholar
    • Export Citation
  • 20. E McAllister K Wells M Chaet J Norman W Cruse 1994 Perineal reconstruction after surgical extirpation of pelvic malignancies using the transpelvic transverse rectus abdominal myocutaneous flap Ann Surg Oncol 1 164 8.

    • Search Google Scholar
    • Export Citation
  • 21. GB Melton PB Paty PJ Boland 2006 Sacral resection for recurrent reactal cancer: analysis of morbidity and treatment results Dis Colon Rectum 49 1099 107.

    • Search Google Scholar
    • Export Citation
  • 22. SW Bell N Dehni M Chaouat JC Lifante R Parc E Tiret 2005 Primary rectus abdominis myocutaneous flap for repair of perineal and vaginal defects after extended abdominoperineal resection Br J Surg 92 482 6.

    • Search Google Scholar
    • Export Citation
  • 23. WG De Haas MJ Miller WJ Temple SS Kroll MA Schusterman GP Reece JM Skibber 1995 Perineal wound closure with the rectus abdominis musculocutaneous flap after tumor ablation Ann Surg Oncol 2 400 6.

    • Search Google Scholar
    • Export Citation
  • 24. MW Erdmann N Waterhouse 1995 The transpelvic rectus abdominis flap: its use in the reconstruction of extensive perineal defects Ann R Coll Surg Engl 77 229 32.

    • Search Google Scholar
    • Export Citation
  • 25. CE Butler AO Gundeslioglu MA Rodriguez Bigas 2008 Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects J Am Coll Surg 206 694 703.

    • Search Google Scholar
    • Export Citation
  • 26. DB Chessin J Hartley AM Cohen 2005 Rectus flap reconstruction decreases perineal wound complications after pelvic chemoradiation and surgery: a cohort study Ann Surg Oncol 12 104 10.

    • Search Google Scholar
    • Export Citation
  • 27. FT Ferenschild M Vermaas SO Hofer C Verhoef AM Eggermont JH de Wilt 2005 Salvage abdominoperineal resection and perineal wound healing in local recurrent or persistent anal cancer World J Surg 29 1452 7.

    • Search Google Scholar
    • Export Citation
  • 28. E Radice H Nelson S Mercill R Farouk P Petty L Gunderson 1999 Primary myocutaneous flap closure following resection of locally advanced pelvic malignancies Br J Surg 86 349 54.

    • Search Google Scholar
    • Export Citation
  • 29. TM Tei T Stolzenburg S Buntzen S Laurberg H Kjeldsen 2003 Use of transpelvic rectus abdominis musculocutaneous flap for anal cancer salvage surgery Br J Surg 90 575 80.

    • Search Google Scholar
    • Export Citation
  • 30. AI Skene DT Gault CR Woodhouse NM Breach JM Thomas 1990 Perineal, vulval and vaginoperineal reconstruction using the rectus abdominis myocutaneous flap BR J Surg 77 635 7.

    • Search Google Scholar
    • Export Citation
  • 31. GI Taylor R Corlett JB Boyd 1983 The extended deep inferior epigastric flap: a clinical technique Plast Reconstr Surg 72 751 65.

  • 32. CJ Gabka P Benhaim SJ Mathes H Scheuenstuhl A Chan KK Fu TK Hunt 1995 An experimental model to determine the effect of irradiated tissue on neutrophil function Plast Reconstr Surg 96 1676 88.

    • Search Google Scholar
    • Export Citation
  • 33. S Delanian M Martin A Bravard C Luccioni JL Lefaix 1998 Abnormal phenotype of cultured fibroblasts in human skin with chronic radiotherapy damage Radiother Oncol 47 255 61.

    • Search Google Scholar
    • Export Citation
  • 34. P Juni F Holenstein J Sterne C Bartlett M Egger 2002 Direction and impact of language bias in meta-analyses of controlled trials: empirical study Int J Epidemiol 31 115 23.

    • Search Google Scholar
    • Export Citation
  • 35. PJ Nilsson 2006 Omentoplasty in abdominoperineal resection: a review of the literature using a systematic approach Dis Colon Rectum 49 1354 61.

    • Search Google Scholar
    • Export Citation
  • 36. YL Klaver SW Nienhuijs GA Nieuwenhuijzen HJ Rutten IH de Hingh 2008 Omentoplasty in rectal cancer surgery prolongs post-operative ileus Int J Colorectal Dis 23 165 9.

    • Search Google Scholar
    • Export Citation
  • 37. DW Becker Jr. FM Massey JB McCraw 1979 Musculocutaneous falps in reconstructive pelvic surgery Obstet Gynecol 54 178 83.

  • 38. T Holm A Ljung T Haggmark G Jurell J Lagergren 2007 Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer Br J Surg 94 232 8.

    • Search Google Scholar
    • Export Citation

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  • Medicine (miscellaneous) SJR Quartile Score (2018): Q4
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Language: Papers in Hungarian with abstracts in English

Founded in 1947
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Editor(s)-in-Chief: Oláh, Attila

Editorial Board

  • Dr. Acsády, György
  • Dr. Bálint, András
  • Dr. Bátorfi, József
  • Dr. Boros, Mihály
  • Dr. Bursics, Attila
  • Dr. Damjanich, László
  • Dr. Gál, István
  • Dr. Gulyás, Gusztáv
  • Dr. Harsányi, László
  • Dr. Horváth, Örs Péter
  • Dr. István, Gábor
  • Dr. Jakab, Ferenc
  • Dr. Kecskés, László
  • Dr. Kupcsulik, Péter
  • Dr. Lázár, György
  • Dr. Lestár, Béla
  • Dr. Metzger, Péter
  • Dr. Molnár, F. Tamás
  • Dr. Nagy, Attila
  • Dr. Oláh, Tibor
  • Dr. Ondrejka, Pál
  • Dr. Romics, László, Jr.
  • Dr. Verebély, Tibor
  • Dr. Vereczkei, András

Petz Aladár County Teaching Hospital, Surgery
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