Presacral abscess formation due to rectal stump insufficiency following Hartmann procedure is very rare complication. If the abscess cavity is large, it might delay the reversal of the stoma and will probably result in a devastating future functioning of the neorectum. Moreover, very invasive treatments will be required in order to prevent severe septic complications. We present the case of a 58-year-old man with a past history of Hartmann procedure for a low rectal carcinoma who presented with rectal stump insufficiency and a large presacral abscess. Following extensive debridement and rectal stump resection, a vacuum-assisted closure (VAC) system was applied to the large abscess cavity to facilitate gracilis muscle flap reconstruction and to optimize wound healing. The satisfactory results showed in the present report led us to favor a combination of VAC therapy and a gracilis muscle flap in intrapelvic and perineal reconstruction in the case of large defects associated with high risks of septic complications. © 2013 The Korean Society of Coloproctology.
Yazar |
Gultekin F.A. Bakkal, Bekir Hakan Tayfun S. Babuccu O. Comert M. |
Yayın Türü | Article |
Tek Biçim Adres | https://hdl.handle.net/20.500.12628/4670 |
Tek Biçim Adres | 10.3393/ac.2013.29.4.172 |
Konu Başlıkları |
Insufficiency
Negative-pressure Wound therapy Pedicled flap Rectal Stump |
Koleksiyonlar |
Fakülteler Tıp Fakültesi Cerrahi Bilimler Bölümü Makale Koleksiyonu (Cerrahi Bilimler Bölümü) Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD Scopus İndeksli Yayınlar Koleksiyonu |
Dergi Adı | Annals of Coloproctology |
Dergi Cilt Bilgisi | 29 |
Dergi Sayısı | 4 |
Sayfalar | 172 - 176 |
Yayın Yılı | 2013 |
Eser Adı [dc.title] | Chronic pelvic abscedation after completion proctectomy in a rectal stump insufficiency; treatment with gracilis muscle flap following vacuum assisted closure therapy |
Yazar [dc.contributor.author] | Gultekin F.A. |
Yazar [dc.contributor.author] | Bakkal, Bekir Hakan |
Yazar [dc.contributor.author] | Tayfun S. |
Yazar [dc.contributor.author] | Babuccu O. |
Yazar [dc.contributor.author] | Comert M. |
Yayın Yılı [dc.date.issued] | 2013 |
Yayın Türü [dc.type] | article |
Özet [dc.description.abstract] | Presacral abscess formation due to rectal stump insufficiency following Hartmann procedure is very rare complication. If the abscess cavity is large, it might delay the reversal of the stoma and will probably result in a devastating future functioning of the neorectum. Moreover, very invasive treatments will be required in order to prevent severe septic complications. We present the case of a 58-year-old man with a past history of Hartmann procedure for a low rectal carcinoma who presented with rectal stump insufficiency and a large presacral abscess. Following extensive debridement and rectal stump resection, a vacuum-assisted closure (VAC) system was applied to the large abscess cavity to facilitate gracilis muscle flap reconstruction and to optimize wound healing. The satisfactory results showed in the present report led us to favor a combination of VAC therapy and a gracilis muscle flap in intrapelvic and perineal reconstruction in the case of large defects associated with high risks of septic complications. © 2013 The Korean Society of Coloproctology. |
Kayıt Giriş Tarihi [dc.date.accessioned] | 2019-12-23 |
Açık Erişim Tarihi [dc.date.available] | 2019-12-23 |
Yayın Dili [dc.language.iso] | eng |
Konu Başlıkları [dc.subject] | Insufficiency |
Konu Başlıkları [dc.subject] | Negative-pressure Wound therapy |
Konu Başlıkları [dc.subject] | Pedicled flap |
Konu Başlıkları [dc.subject] | Rectal |
Konu Başlıkları [dc.subject] | Stump |
Haklar [dc.rights] | info:eu-repo/semantics/openAccess |
ISSN [dc.identifier.issn] | 2287-9714 |
İlk Sayfa Sayısı [dc.identifier.startpage] | 172 |
Son Sayfa Sayısı [dc.identifier.endpage] | 176 |
Dergi Adı [dc.relation.journal] | Annals of Coloproctology |
Dergi Sayısı [dc.identifier.issue] | 4 |
Dergi Cilt Bilgisi [dc.identifier.volume] | 29 |
Tek Biçim Adres [dc.identifier.uri] | https://dx.doi.org/10.3393/ac.2013.29.4.172 |
Tek Biçim Adres [dc.identifier.uri] | https://hdl.handle.net/20.500.12628/4670 |