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CC BY-NC-ND 4.0 · Indian J Plast Surg 2019; 52(03): 355-357
DOI: 10.1055/s-0039-3400675
Case Report
Association of Plastic Surgeons of India

Total Gluteal Reconstruction with “IGA-based V–Y Myocutaneous Advancement Flap”

Madhubari Vathulya
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Amborish Nath
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Manish Jain
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Rajkumar Kottayasamy Seenivasagam
2   Department of Oncosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
› Author Affiliations
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Publication History

Publication Date:
28 November 2019 (online)

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Abstract

Introduction A 44-year-old man was presented with chronic discharging multiple perianal fistula and squamous cell carcinoma of the left buttock.

Report The patient was subjected to wide local excision of the entire left gluteal and adjacent sacral regions and reconstruction with extended island inferior gluteal artery based V–Y myocutaneous advancement flap.

Result and Conclusion Extended island inferior gluteal based V–Y flap can be a good option for extensive defects involving the gluteal region and the sacrum.

Keywords

gluteal reconstruction - musculocutaneous flap - pedicle flap - post oncological defect
 

  • References

  • 1 Sjödahl RI, Myrelid P, Söderholm JD. Anal and rectal cancer in Crohn’s disease. Colorectal Dis 2003; 5 (05) 490-495
    CrossrefPubMedSearch in Google Scholar
  • 2 Benjelloun B, Abkari M, Ousadden A, Ait Taleb K. Squamous cell carcinoma associated anal fistulas in Crohn’s disease unique case report with literature review. J Crohn’s Colitis 2013; 7 (06) e232-e235
    CrossrefPubMedSearch in Google Scholar
  • 3 Chao AH, Kearns PN. Reconstruction of radiated gluteal defects following sarcoma resection with pedicled sensate tensor fascia lata flaps. Case Rep Oncol Med 2015; 2015: 971037
    PubMedSearch in Google Scholar
  • 4 Ding Q, Zang M, Yu S, Zhao Z, Zhu S, Liu Y. Nearly total unilateral buttock reconstruction with a proximally pedicled anterolateral thigh flap: a case report. J Plast Reconstr Aesthet Surg 2013; 66 (06) e166-e168
    CrossrefPubMedSearch in Google Scholar
  • 5 Rubayi S, Chandrasekhar BS. Trunk, abdomen, and pressure sore reconstruction. Plast Reconstr Surg 2011; 128 (03) 201e-215e
    CrossrefPubMedSearch in Google Scholar
  • 6 Windhofer Ch, Michlits W, Gruber S, Papp Ch. Reconstruction in the buttock region using the local fasciocutaneous infragluteal (FCI) flap. J Plast Reconstr Aesthet Surg 2010; 63 (01) 126-132
    CrossrefPubMedSearch in Google Scholar
  • 7 Windhofer C, Brenner E, Moriggl B, Papp C. Relationship between the descending branch of the inferior gluteal artery and the posterior femoral cutaneous nerve applicable to flap surgery. Surg Radiol Anat 2002; 24 (05) 253-257
    CrossrefPubMedSearch in Google Scholar
  • 8 Pannucci CJ, Gerety PA, Nelson JA, Fischer JP, Kovach SJ. Use of intercostal perforating veins and long arterial grafts for latissimus myocutaneous free flap reconstruction of radiated low back wounds. J Reconstr Microsurg 2015; 31 (05) 396-400
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Aggarwal S, Pennington D. Reconstruction of gluteal defects using free flaps. J Plast Reconstr Aesthet Surg 2013; 66 (08) 1149-1152
    CrossrefPubMedSearch in Google Scholar
  • 10 Friedman JD, Reece GR, Eldor L. The utility of the posterior thigh flap for complex pelvic and perineal reconstruction. Plast Reconstr Surg 2010; 126 (01) 146-155
    CrossrefPubMedSearch in Google Scholar