Abstract
Primary Abdominal Wall Reinforcement With Synthetic Mesh Following Harvesting Of Vertical Rectus Abdominis Myocutaneous Flaps In Multivisceral Pelvic Resections
Highlights
Multivisceral pelvic exenteration often represents the only option for sustainable treatment of patients with primary or recurrent advanced pelvic malignancy (1,2)
Perineal reconstruction with vertical rectus abdominis myocutaneous (VRAM) flap and primary abdominal wall reinforcement with mesh is feasible after multivisceral resection
The aim of the present study was to ascertain whether primary reconstruction of the abdominal wall with mesh after pelvic exenteration and harvesting of VRAM flaps is associated with increased risk of complications
Summary
Multivisceral pelvic exenteration often represents the only option for sustainable treatment of patients with primary or recurrent advanced pelvic malignancy (1,2). Musculocutaneous flaps are commonly used to fill the resulting intra-abdominal void created by the exenteration and to reconstruct the pelvic floor and perineum. VRAM flaps weaken the abdominal wall, which can be reinforced using mesh (3,4). Due to potential contamination of the surgical field, there has been considerable controversy regarding implantation of foreign material, primarily, in the abdominal wall (5). The aim of the present study was to ascertain whether primary reconstruction of the abdominal wall with mesh after pelvic exenteration and harvesting of VRAM flaps is associated with increased risk of complications. An additional objective was to determine whether patient demographics or treatment procedures could identify specific indications for use of abdominal wall reinforcement in this setting
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