J Wound Manag Res.  2024 Feb;20(1):55-62. 10.22467/jwmr.2023.02733.

Reconstruction and Management Strategies for Pelvic Ablative Surgery

• Choi J
• Kim RY
• Lee CR
• Choi JY
• Moon SH
• Oh DY
• Jun YJ

• KMID: 2552930
• DOI: http://doi.org/10.22467/jwmr.2023.02733

Abstract

Background
Ablative oncologic procedures for colorectal or gynecologic malignancies can result in large skin or tissue volume defects. Although direct closure may be possible, such attempts can lead to postoperative complications such as wound breakdown, organ prolapse, chronic seroma, or infection. Various procedures, from flap surgery to local wound care, can be useful additions to improve patient outcomes.
Methods
This study retrospectively reviews cases of patients with multiple comorbidities who had undergone concomitant interventions after pelvic ablative surgery. Various interventions after pelvic ablative surgery, from reconstructing the defect to managing postoperative complications, are described.
Results
Careful planning and selection of the reconstruction method can significantly improve patient outcomes. The authors suggest using gluteal flaps for most reconstructive demands.
Conclusion
This case series emphasizes the utility of using various flaps, especially the gluteal flap, in reconstructing oncologic defects in the pelvic and perineal regions. The insights gained from this study will hopefully be of assistance to future research and clinical practice, ultimately improving patient outcomes.

Keyword

Pelvic exenteration; Pelvic reconstruction; Postoperative complications; Myocutaneous flap; Perforator flap