Sliding V-Y perineal island flaps for large perianal defects.
A large perianal defect resulting from resection of Bowen's disease was reconstructed with a pair of sliding V-Y perineal flaps. The anatomical basis of the flaps is described, based on the inferior rectal vessels as fasciocutaneous units. Both continence and sensibility are preserved with the procedure.
Core
G B
GB
Division of Plastic and Reconstructive Surgery, Ochsner Clinic, New Orleans, LA.
Bite
U
U
Pemberton
J H
JH
Petty
P M
PM
D001003:Anal Canal / Q000601:surgery*; D001913:Bowen's Disease / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps