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Reconstruction of a pelvic floor defect using a pedicled tensor fascia lata flap: a new technique to prevent radiation injury for pediatric patients with advanced pelvic tumors


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Title: Reconstruction of a pelvic floor defect using a pedicled tensor fascia lata flap: a new technique to prevent radiation injury for pediatric patients with advanced pelvic tumors
Authors: Ohno, Yasuharu / Tanaka, Katsumi / Noguchi, Mitsuru / Okada, Masahiko / Kamitamari, Akira / Hayashi, Nobuyuki
Issue Date: May-2008
Publisher: Elsevier Inc.
Citation: Journal of Pediatric Surgery, 43(5) p.947-950; 2008
Abstract: BACKGROUND: In the treatment of pelvic tumors, pelvic floor defects owing to a wide excision tend to increase the occurrence of such morbidities as radiation injury. The reconstruction of these defects would minimize the risk of such morbidities. Authors introduce a new technique for repairing a pelvic floor defect using a tensor fascia lata flap. METHODS: Two boys, 4 years old and 10 months old, presenting with pelvic rhabdomyosarcoma underwent a tumor extirpation associated with a wide excision of the pelvic organs. After the removal of the tumor, a tensor fascia lata flap was designed on the right thigh. The pedicled rotation flap was subcutaneously elevated, guided to the intraperitoneal cavity, and was fixed to cover the superior aperture of the lesser pelvis. RESULTS: The flaps functioned well, and postoperative radiation therapies consisting of 45 and 41.4 Gy to the lesser pelvic cavity were carried out without any complications. As a result, the necessary postoperative protocol combination therapies could be successfully performed in a timely manner. CONCLUSION: The pedicled tensor fascia lata flap is considered to be an alternative option for the stable repair of pelvic floor defects to prevent radiation injury.
Description: Without Figures
Keywords: Pedicled tensor fascia lata flap / Pelvic floor defects / Advanced pelvic tumor / Rhabdomyosarcoma / Radiation injury / Pediatric
URI: http://hdl.handle.net/10069/16928
ISSN: 00223468
DOI: 10.1016/j.jpedsurg.2007.12.040
PubMed ID: 18485975
Rights: Copyright (c) 2008 Elsevier Inc. All rights reserved.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/16928

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