Reconstruction of perianal skin defect using a V-Y advancement of bilateral gluteus maximus musculocutaneous flaps: reconstruction considering anal cleft and anal function
K. Sasaki et al., Reconstruction of perianal skin defect using a V-Y advancement of bilateral gluteus maximus musculocutaneous flaps: reconstruction considering anal cleft and anal function, BR J PL SUR, 52(6), 1999, pp. 471-475
In order to preserve the anal function after ano-perianal skin excision for
malignancy, we have reconstructed a deep, symmetrical natal cleft using a
V-Y advancement of bilateral gluteus maximus musculocutaneous flaps thinned
medially and sutured to the coccyx, anococcygeal ligament and the central
tendon of the perineum.
This technique was applied in three cases of Bowen's disease and two cases
of Paget's disease. In all five cases, postoperative anal functions such as
comfortable defecation and sensation, were well preserved, the perianal sk
in and underwear stayed clean, and there was no disturbance of walking or e
xercise.