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Anterior Flap Hemipelvectomy

  • Martin Malawer
  • Paul Sugarbaker
  • Robert Henshaw

Overview

The anterior flap hemipelvectomy is a modified version of the classical posterior flap hemipelvectomy. Instead of utilizing the traditional posterior skin flap of the gluteal region, a myocutaneous flap from the anterior thigh is used to close the peritoneum following amputation through the sacroiliac joint and the pubic symphysis. This modification has permitted the treatment of difficult buttock and pelvic tumors where the posterior flap was involved and/or contaminated by tumor. This technique offers patients, initially thought to be incurable by standard technique, a good oncological procedure. The anterior myocutaneous flap consists of a portion or the entire quadriceps muscle group on its vascular pedicle, the superficial femoral artery. This flap covers the entire peritoneal surface and generally heals with minimal problems.

Keywords

Quadriceps Muscle Superficial Femoral Artery Myocutaneous Flap Femoral Vessel Phantom Limb Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Bowden L, Booher RJ. Surgical considerations in the treatment of sarcoma of the buttock. Cancer. 1953;6:89–99.PubMedGoogle Scholar
  2. 2.
    Frey C, Matthews LS, Benjamin H et al. A new technique for hemipelvectomy. Surg Gynecol Obstet. 1976;143:753–6.PubMedGoogle Scholar
  3. 3.
    Mnaymneh W, Temple W. Modified hemipelvectomy utilizing a long vascular myocutaneous thigh flap. J Bone Joint Surg. 1980;62:1013–15.PubMedGoogle Scholar
  4. 4.
    Lotze MT, Sugarbaker PH. Femoral artery based myocutaneous flap for hemipelvectomy closure: amputation after failed limb-sparing surgery and radiotherapy. Am J Surg. 1985;150:625–30.CrossRefPubMedGoogle Scholar
  5. 5.
    Sugarbaker PH, Chretien PA. Hemipelvectomy for buttock tumors utilizing an anterior myocutaneous flap of quadriceps femoris muscle. Ann Surg. 1983;197:106–15.PubMedGoogle Scholar
  6. 6.
    Gebhart M, Collignon A, Lejeune F. Modified hemipelvectomy: conservation of the upper iliac wing and an anterior musculo-cutaneous flap. Eur J Surg Oncol. 1988;14:399–404.PubMedGoogle Scholar
  7. 7.
    Larson DL, Liang MD. The quadriceps musculocutaneous flap: a reliable, sensate flap for the hemipelvectomy defect. Plast Reconstr Surg. 1983;72:347–54.PubMedGoogle Scholar
  8. 8.
    Luna-Perez P, Herrera L. Medial thigh myocutaneous flap for covering extended hemipelvectomy. Eur J Surg Oncol. 1995;21:623–6.PubMedGoogle Scholar
  9. 9.
    Temple WJ, Mnaymneh W, Ketcham AS. The total thigh and rectus abdominis myocutaneous flap for closure of extensive hemipelvectomy defects. Cancer. 1982;50:2524–8.PubMedGoogle Scholar
  10. 10.
    Workman ML, Bailey DF, Cunningham BL. Popliteal-based filleted lower leg musculocutaneous free-flap coverage of a hemipelvectomy defect. Plast Reconstr Surg. 1992;89:326–9.PubMedGoogle Scholar
  11. 11.
    Yamamoto Y, Minakawa H, Takeda N. Pelvic reconstruction with a free fillet lower leg flap. Plast Reconstr Surg. 1997;99:1439–41.PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Martin Malawer
  • Paul Sugarbaker
  • Robert Henshaw

There are no affiliations available

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