IMR Press / EJGO / Volume 31 / Issue 2 / pii/1630984576416-1856492898

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
A novel technique for surgical reconstruction of the perineal floor following anteroposterior exenteration of the pelvis - case report and review of the literature
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1 2nd Department of Surgery, Areteion Hospital, University of Athens Medical School
2 2nd Department of Pathology, Areteion Hospital, University of Athens Medical School
3 2nd Department of Obstetrics and Gynaecology, Areteion Hospital University of Athens Medical School
4 5th Department of Surgery, Areteion Hospital, University of Athens Medical School, Athens (Greece)
Eur. J. Gynaecol. Oncol. 2010, 31(2), 201–205;
Published: 10 April 2010

Pelvic exenteration is the only potentially curative surgical procedure for patients with recurrent cervical, vaginal, vulvar or rectal cancers, especially following adjuvant chemotherapy or radiotherapy. Morbidity rates, however, remain high, which is significantly attributed to complications of the pelvic floor reconstruction techniques. We describe a novel reconstruction technique of the pelvic floor, involving a combination of an oblique rectus abdominis myocutaneous flap and a synthetic absorbable mesh as a pelvic sling for additional support, in a 63-year-old female patient with recurrent vulvar carcinoma. Combining the use of myocutaneous flaps and prosthetic mesh material can provide an effective alternative solution to the complications arising from pelvic floor reconstruction of large defects after exenteration procedures, especially in previously irradiated settings. Further studies are necessary to define the long-term outcomes and indications of these techniques, as well as the optimal combination between the available myocutaneous flaps and prosthetic materials.
Vulvar canver
Pelvic floor reconstruction
Oblique rectus abdominis flap
Vicryl mesh
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