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Reconstruction of Peripelvic Oncologic Defects

Weichman, Katie E., M.D.; Matros, Evan, M.D., M.M.Sc.; Disa, Joseph J., M.D.

Plastic and Reconstructive Surgery: October 2017 - Volume 140 - Issue 4 - p 601e-612e
doi: 10.1097/PRS.0000000000003703
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Learning Objectives: After studying this article, the participant should be able to: 1. Understand the anatomy of the peripelvic area. 2. Understand the advantages and disadvantages of performing peripelvic reconstruction in patients undergoing oncologic resection. 3. Select the appropriate local, pedicled, or free-flap reconstruction based on the location of the defect and donor-site characteristics.

Summary: Peripelvic reconstruction most commonly occurs in the setting of oncologic ablative surgery. The peripelvic area contains several distinct reconstructive regions, including vagina, vulva, penis, and scrotum. Each area provides unique reconstructive considerations. In addition, prior or future radiation therapy or chemotherapy along with cancer cachexia can increase the complexity of reconstruction.

New York and Bronx, N.Y.

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center; and the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center/Albert Einstein School of Medicine.

Received for publication June 2, 2016; accepted November 21, 2016.

Disclosure: The authors have no financial interest to declare in relation to the content of this article. No external funding was received for this work.

Joseph J. Disa, M.D., Department of Surgery, Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, N.Y. 10065, disaj@mskcc.org

Copyright © 2017 by the American Society of Plastic Surgeons