title: The closure of large pelvic defects by extended compound tensor fascia lata and inferior gluteal myocutaneous flaps.
abstract: This report describes the use of myocutaneous flaps in two unique situations with extensive pelvic and perineal defects. In the first patient, bilateral tensor fascia lata myocutaneous flaps 10 x 40 cm were rotated posteriorly to cover a perineal defect measuring 15 x 30 cm. In the second patient, bilateral inferior gluteus maximus myocutaneous flaps 10 x 32 cm were rotated to fill a pelvic defect 10 x 15 x 8 cm that remained after a pelvic exenteration and sacral resection. Both flaps were delayed 2 weeks prior to surgery to insure 100% viability.
mesh_terms: D000368:Aged; D001005:Anus Neoplasms / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D012004:Rectal Neoplasms / Q000601:surgery*; D013524:Surgical Flaps