Pelvic floor reconstruction using the rectus abdominis muscle flap.
In the 2 cases reported the rectus abdominis muscle was used as a sling to construct the pelvic floor. In patient 1, a large squamous cell carcinoma of the perineum was treated with an abdominal perineal resection. Reconstruction was accomplished internally using a rectus abdominis muscle sling and externally with a gluteus maximus musculocutaneous flap. In the second case, the rectus abdominis muscle was used as a supportive sling to reinforce a perineal hernial repair and prevent recurrence.
D000009:Abdominal Muscles / Q000637:transplantation*; D000328:Adult; D000368:Aged; D001005:Anus Neoplasms / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D010388:Pelvis / Q000601:surgery*; D010502:Perineum / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery; D013524:Surgical Flaps