Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000029.xml
J Reconstr Microsurg 2015; 31(01): 076-078
DOI: 10.1055/s-0034-1370357
DOI: 10.1055/s-0034-1370357
Letter to the Editor: Short Report
Massive Sacral Chordoma Resection and Reconstruction with a Combination of Pedicled and Free Flaps
Further Information
Publication History
21 November 2013
15 December 2013
Publication Date:
19 February 2014 (online)
This case illustrates the usage of combined pedicled and free flaps in the coverage of a massive sacral defect. This included (1) GPT transposition flap, (2) regional pedicled OVRAM flap, and (3) LD free flap. Watertight closure with skin was a key to contain what was essentially a large bag of seroma fluid within the pelvis. Communication between the resecting and reconstructive teams is paramount to optimize outcomes. In our case, all flaps survived and the patient regained ambulatory function.
Note
Informed consent was obtained from the patient and the preparation of this article conforms to the Declaration of Helsinki.
-
References
- 1 Varga PP, Bors I, Lazary A. Sacral tumors and management. Orthop Clin North Am 2009; 40 (1) 105-123 , vii
- 2 Garvey PB, Rhines LD, Feng L, Gu X, Butler CE. Reconstructive strategies for partial sacrectomy defects based on surgical outcomes. Plast Reconstr Surg 2011; 127 (1) 190-199
- 3 Koh PK, Tan BK, Hong SW , et al. The gluteus maximus muscle flap for reconstruction of sacral chordoma defects. Ann Plast Surg 2004; 53 (1) 44-49
- 4 Dasenbrock HH, Clarke MJ, Bydon A , et al. Reconstruction of extensive defects from posterior en bloc resection of sacral tumors with human acellular dermal matrix and gluteus maximus myocutaneous flaps. Neurosurgery 2011; 69 (6) 1240-1247
- 5 Glatt BS, Disa JJ, Mehrara BJ, Pusic AL, Boland P, Cordeiro PG. Reconstruction of extensive partial or total sacrectomy defects with a transabdominal vertical rectus abdominis myocutaneous flap. Ann Plast Surg 2006; 56 (5) 526-530 , discussion 530–531
- 6 Miles WK, Chang DW, Kroll SS , et al. Reconstruction of large sacral defects following total sacrectomy. Plast Reconstr Surg 2000; 105 (7) 2387-2394