Portal de Periódicos da CAPES

Reconstruction After Extirpation of Sacral Malignancies

2003; Lippincott Williams & Wilkins; Volume: 51; Issue: 2 Linguagem: Inglês

10.1097/01.sap.0000063754.39566.5c

1536-3708

José E. Diaz, W. Scott McDonald, Milton B. Armstrong, Frank J. Eismont, Michael Hellinger, Seth R. Thaller,

Sarcoma Diagnosis and Treatment

In Brief Defects after extirpation of either sacral or rectal tumors often present a reconstructive challenge to plastics surgeons. Because of their relative infrequency, management guidelines, in the authors’ opinion, have been overlooked. They think that successful, comprehensive treatment lends itself to an integrated team approach. They review their experience with immediate reconstruction after total sacrectomy for sacral malignancies performed between 1996 and 2001. Medical records were reviewed retrospectively for the surgical procedure, postoperative complications, and eventual outcome. A total of 9 patients underwent sacrectomy with a gluteus maximus flap for reconstruction. Six patients had a simultaneous omental flap for complete obliteration of the surgical defect. The authors’ experience suggests that this combination of techniques is a reliable approach for reconstruction of these extensive surgical defects. Nine patients undergoing oncologic sacrectomy were successfully reconstructed with gluteus maximus musculocutaneous flaps or skin flaps, with or without omental transfer and vicryl mesh. Complications included three dehiscences, four seromas, and two tumor recurrences.