Multi-disciplinary operative management of vulval metastasis from rectal adenocarcinoma

Multi-disciplinary operative management of vulval metastasis from rectal adenocarcinoma A 61-year-old female developed vulval metastasis five months after a metastatic rectal carcinoma was treated by abdomino-perineal resection (APR) and pelvic exenteration, chemotherapy and radiotherapy. In view of her previous management and the anticipated defect a joint operative management was performed by the oncological and plastic surgical teams. She had bilateral en bloc inguinal node dissection and posterior vulvo-vaginectomy. Immediate reconstruction using bilateral gracilis myocutaneous flaps was complicated only by minor skin necrosis. The selection of flaps for reconstruction was limited by previous and current operative management. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Multi-disciplinary operative management of vulval metastasis from rectal adenocarcinoma

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Publisher
Springer Journals
Copyright
Copyright © 1998 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050072
Publisher site
See Article on Publisher Site

Abstract

A 61-year-old female developed vulval metastasis five months after a metastatic rectal carcinoma was treated by abdomino-perineal resection (APR) and pelvic exenteration, chemotherapy and radiotherapy. In view of her previous management and the anticipated defect a joint operative management was performed by the oncological and plastic surgical teams. She had bilateral en bloc inguinal node dissection and posterior vulvo-vaginectomy. Immediate reconstruction using bilateral gracilis myocutaneous flaps was complicated only by minor skin necrosis. The selection of flaps for reconstruction was limited by previous and current operative management.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: May 8, 1998

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