Reconstruction of the pelvic floor with human acellular dermal matrix and omental flap following anterior pelvic exenteration.
Pelvic floor reconstruction after pelvic exenteration is challenging, particularly with bacterial contamination and/or pelvic irradiation. Traditional regional myocutaneous flap options are not always avaliable, especially in the multiply operated patient. Human acellular dermal matrix (HADM) confers several advantages and is associated with less morbidity when compared to synthetic mesh used in these compromised wound beds. We report a clinical case of an elderly patient with an anterior pelvic floor defect, who underwent successful reconstruction with a combination of human acellular dermal matrix and an omental flap.
Momoh
Adeyiza O
AO
Department of Plastic Surgery, Unit 443, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Kamat
Ashish M
AM
Butler
Charles E
CE
D000369:Aged, 80 and over; D001672:Biocompatible Materials / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery; D006801:Humans; D009852:Omentum; D010385:Pelvic Exenteration / Q000379:methods; D017773:Pelvic Floor / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D013524:Surgical Flaps; D001749:Urinary Bladder Neoplasms / Q000601:surgery*
C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen