Chronic pelvic abscedation after completion proctectomy in a rectal stump insufficiency; treatment with gracilis muscle flap following vacuum assisted closure therapy

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.

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
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abscess rectal septic complications reconstruction present procedure Hartmann muscle gracilis cavity insufficiency facilitate system closure satisfactory optimize healing applied Presacral results defects Coloproctology Society Korean associated perineal showed intrapelvic therapy resection combination report vacuum-assisted debridement
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