ReviewFrontiers in oncology2015
Plastic and Reconstructive Surgery in the Treatment of Oncological Perineal and Genital Defects.
Review in Frontiers in oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 38 citations in OpenAlex.
- Defining Uroplastics as a Collaborative Discipline at the Interface of Urology and Plastic Surgery.Plastic and reconstructive surgery. Global open · 2026Article
- Modified KDPIF Technique in Vulvar Reconstruction: An Alternative Approach to the Conventional Technique with Reduced Complications.International urogynecology journal · 2026Article
- Incidence and risk factors for postoperative vaginal events following radical cystectomy for bladder cancer: a nationwide population-based study.BJU international · 2025Observational
- Bilateral Perineal Reconstruction Using an Oblique V-shaped DIEP Flap.Journal of plastic and reconstructive surgery · 2023Article
- Bowel seromuscular flaps used to repair pelvic defects in patients undergoing reoperative surgery.Techniques in coloproctology · 2023Article
- Low Concentrated Fractionalized Nanofibers as Suitable Fillers for Optimization of Structural-Functional Parameters of Dead Space Gel Implants after Rectal Extirpation.Gels (Basel, Switzerland) · 2022Article
- Quality of life and sexual health after perineal reconstruction in Fournier gangrene using pedicled anterolateral thigh flaps.Frontiers in surgery · 2022Article
- [Reconstruction of oncological defects of the perianal region].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Personalized Reconstruction of Genital Defects in Complicated Wounds with Vertical Rectus Abdominis Myocutaneous Flaps including Urethral Neo-Orifice.Journal of personalized medicine · 2021Article
- Complex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn's disease-a unique case report.International journal of colorectal disease · 2020Article
- Interdisciplinary Surgical Approaches in Vaginal and Perineal Reconstruction of Advanced Rectal and Anal Female Cancer Patients.Frontiers in oncology · 2020Article
- The adipofasciocutaneous gluteal fold perforator flap a versatile alternative choice for covering perineal defects.International journal of colorectal disease · 2019Article
- Incisions and reconstruction approaches for large sarcomas.Translational gastroenterology and hepatology · 2018Review
- Surgery for chronic mesh infection occurred 10 years after sacrectomy - Mesh resection and mesentric leaf repair: A case report.International journal of surgery case reports · 2017Article
- [Sternal osteomyelitis - Surgical treatment concepts].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Defects of the perineum may result from ablative procedures of different malignancies. The evolution of more radical excisional surgery techniques resulted in an increase in large defects of the perineum. The perineogenital region per se has many different functions for urination, bowel evacuation, sexuality, and reproduction. Up-to-date individual and interdisciplinary surgical treatment concepts are necessary to provide optimum oncological as well as quality of life outcome. Not only the reconstructive method but also the timing of the reconstruction is crucial. In cases of postresectional exposition of e.g., pelvic or femoral vessels or intrapelvic and intra-abdominal organs, simultaneous flap procedure is mandatory. In particular, the reconstructive armamentarium of the plastic surgeon should include not only pedicled flaps but also free microsurgical flaps so that no compromise in terms of the extent of the oncological resection has to be accepted. For intra-abdominally and/or pelvic tumors of the rectum, the anus, or the female reproductive system, which were resected through an abdominally and a sacrally surgical access, simultaneous vertical rectus abdominis myocutaneous (VRAM) flap reconstruction is recommendable. In terms of soft tissue sarcoma of the pelvic/caudal abdomen/proximal thigh region, two-stage reconstructions are possible. This review focuses on the treatment of perineum, genitals, and pelvic floor defects after resection of malignant tumors, giving a distinct overview of the different types of defects faced in this region and describing a number of reconstructive techniques, especially VRAM flap and pedicled flaps like antero-lateral thigh flap or free flaps. Finally, this review outlines some considerations concerning timing of the different operative steps.
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