Anal and perianal reconstruction after extramammary Paget's disease using a posterior thigh flap with a thin square wing

Kazuo Kishi, Hideo Nakajima, Nobuaki Imanishi, Tatsuo Nakajima

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Extramammary Paget's disease regularly requires a wide resection of skin, often including the anal tract. When reconstructing the anal tract, simulating natural anatomy by creating the thinnest possible flap is essential to prevent incontinence. We reconstructed the anal and perianal area using a posterior thigh trilobed flap. The lobe to be transposed to the anal duct had a square design and was thinned. The other lobes were used to cover perianal defects and the flap donor site. Using this method, we reconstructed three patients who required large perianal area and anal tract resections. All flaps took well, and after the initial healing process, the patients did not develop lasting incontinence. We conclude that the posterior thigh flap with a thin square wing is useful for reconstruction of the anal tract and perianal area.

Original languageEnglish
Pages (from-to)1353-1356
Number of pages4
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume63
Issue number8
DOIs
Publication statusPublished - 2010 Aug

Fingerprint

Extramammary Paget's Disease
Thigh
Anatomy
Tissue Donors
Skin

Keywords

  • Anal tract
  • Extramammary Paget's disease
  • Posterior thigh flap
  • Reconstruction
  • Square
  • Thin

ASJC Scopus subject areas

  • Surgery

Cite this

@article{51e9ac20e380479c94879ee323847831,
title = "Anal and perianal reconstruction after extramammary Paget's disease using a posterior thigh flap with a thin square wing",
abstract = "Extramammary Paget's disease regularly requires a wide resection of skin, often including the anal tract. When reconstructing the anal tract, simulating natural anatomy by creating the thinnest possible flap is essential to prevent incontinence. We reconstructed the anal and perianal area using a posterior thigh trilobed flap. The lobe to be transposed to the anal duct had a square design and was thinned. The other lobes were used to cover perianal defects and the flap donor site. Using this method, we reconstructed three patients who required large perianal area and anal tract resections. All flaps took well, and after the initial healing process, the patients did not develop lasting incontinence. We conclude that the posterior thigh flap with a thin square wing is useful for reconstruction of the anal tract and perianal area.",
keywords = "Anal tract, Extramammary Paget's disease, Posterior thigh flap, Reconstruction, Square, Thin",
author = "Kazuo Kishi and Hideo Nakajima and Nobuaki Imanishi and Tatsuo Nakajima",
year = "2010",
month = "8",
doi = "10.1016/j.bjps.2009.06.022",
language = "English",
volume = "63",
pages = "1353--1356",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
issn = "1748-6815",
publisher = "Churchill Livingstone",
number = "8",

}

TY - JOUR

T1 - Anal and perianal reconstruction after extramammary Paget's disease using a posterior thigh flap with a thin square wing

AU - Kishi, Kazuo

AU - Nakajima, Hideo

AU - Imanishi, Nobuaki

AU - Nakajima, Tatsuo

PY - 2010/8

Y1 - 2010/8

N2 - Extramammary Paget's disease regularly requires a wide resection of skin, often including the anal tract. When reconstructing the anal tract, simulating natural anatomy by creating the thinnest possible flap is essential to prevent incontinence. We reconstructed the anal and perianal area using a posterior thigh trilobed flap. The lobe to be transposed to the anal duct had a square design and was thinned. The other lobes were used to cover perianal defects and the flap donor site. Using this method, we reconstructed three patients who required large perianal area and anal tract resections. All flaps took well, and after the initial healing process, the patients did not develop lasting incontinence. We conclude that the posterior thigh flap with a thin square wing is useful for reconstruction of the anal tract and perianal area.

AB - Extramammary Paget's disease regularly requires a wide resection of skin, often including the anal tract. When reconstructing the anal tract, simulating natural anatomy by creating the thinnest possible flap is essential to prevent incontinence. We reconstructed the anal and perianal area using a posterior thigh trilobed flap. The lobe to be transposed to the anal duct had a square design and was thinned. The other lobes were used to cover perianal defects and the flap donor site. Using this method, we reconstructed three patients who required large perianal area and anal tract resections. All flaps took well, and after the initial healing process, the patients did not develop lasting incontinence. We conclude that the posterior thigh flap with a thin square wing is useful for reconstruction of the anal tract and perianal area.

KW - Anal tract

KW - Extramammary Paget's disease

KW - Posterior thigh flap

KW - Reconstruction

KW - Square

KW - Thin

UR - http://www.scopus.com/inward/record.url?scp=77955512619&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955512619&partnerID=8YFLogxK

U2 - 10.1016/j.bjps.2009.06.022

DO - 10.1016/j.bjps.2009.06.022

M3 - Article

C2 - 19631599

AN - SCOPUS:77955512619

VL - 63

SP - 1353

EP - 1356

JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

SN - 1748-6815

IS - 8

ER -