title: Bilateral V-Y advancement flaps for the management of extensive defects of the perianal skin.
abstract: Premalignant and malignant conditions of the skin may sometimes require excision of extensive areas of the skin and subcutaneous tissues. Coverage of the ensuing raw area may be afforded by allowing healing by secondary intention, skin grafts, or flaps. Wide excision of the perianal skin poses special problems. We describe the use of bilateral V-Y advancement flaps for the management of an extensive defect resulting from the wide excision of squamous cell carcinoma arising in scarred perianal skin.
authors.affiliation: Department of Surgery, St. Mary's Hospital, Waterbury, Connecticut, USA.
authors.forename: Ravi P
authors.initials: RP
authors.lastname: Kiran
authors.forename: Satish
authors.initials: S
authors.lastname: Kalavagunta
authors.forename: Maxime
authors.initials: M
authors.lastname: Berube
authors.forename: Wilfred
authors.initials: W
authors.lastname: Brown
authors.forename: Abdel Aziz
authors.initials: AA
authors.lastname: Richi
authors.forename: Stanley J
authors.initials: SJ
authors.lastname: Dudrick
mesh_terms: D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D002081:Buttocks / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002921:Cicatrix / Q000601:surgery; D006801:Humans; D008297:Male; D010502:Perineum / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000473:pathology