title: Reconstruction of a complex pelvic perineal defect with pedicled anterolateral thigh flap combined with bilateral lotus petal flap: a case report.
abstract: Reconstructing extensive perineal defects represents a challenge, and reconstructive choice requires a careful physical assessment of previous radiotherapy, pre-existing scars, the presence of stomas, and the availability of donor sites. We report a case of a patient affected by an anal carcinoma who underwent a pelvic exenteration and bilateral inguinal iliac obturator lymph node dissection. We performed a pedicled anterolateral thigh flap (ALT) combined with bilateral lotus petal flaps (LPF) to reconstruct the pelvic-perineal area. The result was good, and no major post-operative complications were reported. Bilateral LPF, combined with a pedicled ALT, may represent a valid option in pelvic-perineal reconstruction following a wide oncological resection.
authors.affiliation: Division of Plastic Surgery, S.Orsola-Malpighi University Hospital, Bologna, Italia.
authors.forename: Federico
authors.initials: F
authors.lastname: Contedini
authors.forename: Luca
authors.initials: L
authors.lastname: Negosanti
authors.forename: Valentina
authors.initials: V
authors.lastname: Pinto
authors.forename: Carlo Maria
authors.initials: CM
authors.lastname: Oranges
authors.forename: Rossella
authors.initials: R
authors.lastname: Sgarzani
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Lecce
authors.forename: Bruno
authors.initials: B
authors.lastname: Cola
authors.forename: Riccardo
authors.initials: R
authors.lastname: Cipriani
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013848:Thigh