Scholars@Duke publication: V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.

V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.

Publication , Journal Article

Kokosis, G; Sun, Z; Avashia, YJ; Adam, MA; Levinson, H; Erdmann, D; Mantyh, CR; Migaly, J

Published in: Am J Surg

February 2017

BACKGROUND: The aim of this study was to compare wound complications from V-Y flap vs primary closure in the setting of abdominoperineal resection. METHODS: This was a single institution retrospective review (1999-2014). The main outcome measures were any wound complication, hospital length of stay, and unplanned readmissions. RESULTS: Among 80 patients included, 21 (26%) received reconstruction with V-Y flap. Compared with those who received primary closure, patients who underwent V-Y flap reconstruction had lower rates of overall wound complications (14.3% vs 64%, P = .002), superficial surgical site infection (6% vs 32%, P = .05), and wound dehiscence (4.5% vs 14%, P = .251 statistical significance not met). CONCLUSIONS: Reconstruction of perineal defect following abdominoperineal resection using a V-Y fasciocutaneous flap is a safe and efficacious alternative to traditional simple primary closure and is associated with reduced postoperative morbidity. Further comparative effectiveness studies should be undertaken to evaluate long-term and quality-of-life outcomes.

Duke Scholars

Author Detlev Erdmann Surgery, Plastic, Maxillofacial, and Oral Surgery

Author Christopher Ritchie Mantyh Surgical Oncology

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Published In

Am J Surg

DOI

10.1016/j.amjsurg.2016.04.018

EISSN

1879-1883

Publication Date

February 2017

Volume

213

Issue

Start / End Page

371 / 376

Location

United States

Related Subject Headings

Surgical Flaps
Surgery
Retrospective Studies
Rectal Neoplasms
Postoperative Complications
Perineum
Middle Aged
Male
Humans
Female

Citation

APA

Chicago

ICMJE

MLA

NLM

Kokosis, G., Sun, Z., Avashia, Y. J., Adam, M. A., Levinson, H., Erdmann, D., … Migaly, J. (2017). V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection. Am J Surg, 213(2), 371–376. https://doi.org/10.1016/j.amjsurg.2016.04.018

Kokosis, George, Zhifei Sun, Yash J. Avashia, Mohamed A. Adam, Howard Levinson, Detlev Erdmann, Christopher R. Mantyh, and John Migaly. “V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.” Am J Surg 213, no. 2 (February 2017): 371–76. https://doi.org/10.1016/j.amjsurg.2016.04.018.

Kokosis G, Sun Z, Avashia YJ, Adam MA, Levinson H, Erdmann D, et al. V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection. Am J Surg. 2017 Feb;213(2):371–6.

Kokosis, George, et al. “V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.” Am J Surg, vol. 213, no. 2, Feb. 2017, pp. 371–76. Pubmed, doi:10.1016/j.amjsurg.2016.04.018.

Kokosis G, Sun Z, Avashia YJ, Adam MA, Levinson H, Erdmann D, Mantyh CR, Migaly J. V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection. Am J Surg. 2017 Feb;213(2):371–376.