VERTICAL SUBCUTANEOUS PEDICLE FLAPS FOR POSTERIOR PERINEAL RECONSTRUCTION - REPORT OF 3 CASES

PURPOSE: Loss of a certain amount of cutaneous tissue of the perineal region map be remedied by first intention with creation of cutaneous f laps, thus preventing second intention healing. METHODS: We present th ree emblematic cases in which the posterior perineal region was recons tructed by means of vertical subcutaneous pedicle flaps, subsequent to cutaneous tissue loss after surgery for extensive condilomas or neopl astic pathologies. RESULTS: Tissue loss was repaired by means of a V-Y type vertical subcutaneous pedicle flap, constructed laterally of the extirpation zone and advanced in a median direction. In all cases, no ischemia or infection of flaps occurred; sphincteral continence and l ong-term aesthetic results have proved to be satisfactory. CONCLUSIONS : Vertical pedicle subcutaneous flaps are well vascularized, extremely mobile, and easy to perform and have no serious postoperative complic ations.