title: V-Y advancement flaps for extensive perianal defect repair.
abstract: OBJECTIVE
  Some perianal pathologies require aggressive surgery that will need techniques to allow to re-establish the integrity of the perianal region. The purpose is to analyze short and long term results after perineal reconstruction with V-Y flaps.
  
  
  METHODS
  A retrospective review of prospectively collected database was conducted at Virgen de la Arrixaca's Hospital in Murcia (España) between January 2000 and December 2013. The study includes all patients who underwent a perineal reconstruction with V-Y flaps. Demographic and surgical data and short-/long- term morbidity was recorded.
  
  
  RESULTS
  10 patients were included, 6 males and 4 females. The average age was 58,1±17,4 years. Surgical indication included both malignant and benign pathologies. Operating time was 143,5±41,3min. R0 resection was performed in all cases although histopathological analysis showed involvement of the deeper margin in 3 cases. Length of hospital stay was 7,8±7,6 days. Regarding complications: 6 patients had partial dehiscence of the flap. None of the patients lost the flap completely. The most frequent late complication was anal stenosis (n=4). Follow up showed total continence in 7 patients. Two patients had variable fecal and/or flatus incontinence. A colostomy was made in one case due to severe incontinence.
  
  
  CONCLUSIONS
  V-Y flaps are an effective and feasible technique to cover large perianal defects after aggressive surgeries. However, this technique is not free of postoperative morbidity.
authors.affiliation: Departamento de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España. Electronic address: noelia.ibc@hotmail.es.
authors.forename: Noelia
authors.initials: N
authors.lastname: Ibañez
authors.affiliation: Departamento de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Jesús
authors.initials: J
authors.lastname: Abrisqueta
authors.affiliation: Departamento de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Luján
authors.affiliation: Departamento de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Quiteria
authors.initials: Q
authors.lastname: Hernández
authors.affiliation: Departamento de Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013524:Surgical Flaps; D055815:Young Adult
keywords: Bowen disease; Colgajo en isla; Colgajo miocutáneo; Colgajo quirúrgico; Enfermedad de Bowen; Island flap; Myocutaneous flap; Neoplasias perianales; Perianal neoplasms; Surgical flaps