Abstract
Radical pelvic surgery is often required in patients with advanced, persistent or recurrent gynaecological and anorectal malignancies. In the last decade, pedicled flap reconstructions have been increasingly used for pelvic floor and neovaginal reconstruction, introducing well-vascularised non-irradiated tissue into the wound cavity and hence reducing wound complications. The aim of this pictorial review is to describe the normal post-operative cross-sectional imaging appearances of the most commonly used pelvi-perineal flap reconstructions and to illustrate the complications that may arise at the flap donor and recipient sites.
Highlights
PICTORIAL REVIEWPelvi-perineal flap reconstruction: normal imaging appearances and post-operative complications on cross-sectional imaging
In recent years, radical pelvic surgery has been increasingly undertaken in patients with locally advanced, persistent or recurrent gynaecological and anorectal malignancies
The purpose of this paper is twofold: (1) to describe the three most commonly employed surgical techniques used for pelvi-perineal flap reconstruction at our centre—i.e. the vertical rectus abdominis myocutaneous (VRAM) flap, the gracilis flap and the inferior gluteal artery perforator (IGAP) flap—and their normal post-operative appearances on computed tomography (CT) and magnetic resonance imaging (MRI), and (2) to illustrate the post-operative complications related to both the flap donor and recipient sites
Summary
Pelvi-perineal flap reconstruction: normal imaging appearances and post-operative complications on cross-sectional imaging. Nyree Griffin & Jeremy Rabouhans & Lee A. H. Ng & David Ross & Paul Roblin & Mark L. Received: 26 September 2010 / Revised: 3 December 2010 / Accepted: 14 January 2011 / Published online: 2 February 2011 # European Society of Radiology 2011
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