[Pedicled flap plasty in closure of defects after recurrence of tumors of the back].
Resection of recurrent tumors of the back often results in large transmural defects. Sometimes, radiation therapy is applied after the first operation, leading to indurated, badly vascularized skin and surrounding tissue, often complicated by infection. For this reason, it is necessary to remove not only the tumor but also the surrounding tissue. To reconstruct such wide defects, we use large axial pattern flaps with extension through a fasciocutaneous flap. This leads to safe reconstruction of a complex defect with well-vascularized tissue. We report on two patients with recurrent tumors of the back, reconstructed with combined, extended axial pattern flaps.
Universitätsklinik für Plastische und Wiederherstellungschirurgie, Innsbruck. martin.rhomberg@uibk.ac.at
M
M
Rhomberg
E
E
Herczeg
R
R
Roka
H
H
Piza-Katzer
D000368:Aged; D001415:Back / Q000601:surgery*; D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery; D007796:Laminectomy; D007890:Leiomyosarcoma / Q000556:secondary / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011182:Postoperative Care; D011855:Radiodermatitis / Q000209:etiology / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures; D012272:Ribs / Q000601:surgery; D013125:Spinal Neoplasms / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000601:surgery; D013997:Time Factors