title: The use of bone anchors for autologous flap fixation in perineal reconstruction: a case report.
abstract: The purpose of this case report is to demonstrate the use of bone anchors with an autologous flap in perineal reconstruction. This technique has not been reported before. A 64-year-old female presented to our office with a chief complaint of perineal hernia 1.5 years after abdominoperineal resection. She had a history of recurrent rectal cancer for which she received chemotherapy, radiation and surgery. To repair the hernia, a standard vertical rectus abdominismyocutaneous was harvested and de-epithelialized. It was secured into place in the pelvis utilizing several bone anchors. Mesh was used to repair the donor site defect. At 18 month follow-up, there was good healing of all the wounds and no recurrence of the hernia. She was pain free and able to resume her activities of daily living. Bone anchor fixation is a viable technique for fixation of autologous flaps in perineal reconstruction.
authors: The Institute for Advanced Reconstruction at The Plastic Surgery Center, Shrewsbury, NJ, USA adamsaad97@gmail.com.
authors: Adam
authors: A
authors: Saad
authors: The Institute for Advanced Reconstruction at The Plastic Surgery Center, Shrewsbury, NJ, USA.
authors: John A
authors: JA
authors: Cece
authors: Division of Colon and Rectal Surgery, Monmouth Medical Center, Long Branch, NJ, USA.
authors: Michael L
authors: ML
authors: Arvanitis
authors: The Institute for Advanced Reconstruction at The Plastic Surgery Center, Shrewsbury, NJ, USA.
authors: Andrew I
authors: AI
authors: Elkwood