Reconstruction of critically-sized perineal defect with perforator flap puzzle technique: a case report

D Kosutic; N Tsapralis; P Gubbala; M Smith

doi:10.1080/23320885.2019.1583568

Reconstruction of critically-sized perineal defect with perforator flap puzzle technique: a case report

Case Reports Plast Surg Hand Surg. 2019 Mar 1;6(1):38-42. doi: 10.1080/23320885.2019.1583568. eCollection 2019.

Authors

D Kosutic¹, N Tsapralis¹, P Gubbala², M Smith²

Affiliations

¹ Plastic and Reconstructive Surgery Department, The Christie NHS Foundation Trust, Manchester, UK.
² Gynaecological Oncology Surgery Department, The Christie NHS Foundation Trust, Manchester, UK.

Abstract

Extensive defects in perineal reconstruction cannot be effectively reconstructed with only a single perforator flap or other conventional techniques. We present a combination of three different types of flaps including pedicled ALT-rectus-vastus lateralis, gracilis-PAP flap and two IGAP flaps as an alternative option for reconstructing a critically-sized perineal defect.

Publication types

Case Reports