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Case Reports
. 2016 Oct 27:18:36-39.
doi: 10.1016/j.gore.2016.10.006. eCollection 2016 Nov.

A surgical multi-layer technique for pelvic reconstruction after total exenteration using a combination of pedicled omental flap, human acellular dermal matrix and autologous adipose derived cells

Anna Myriam Perrone  1 , Alessandra Livi  1 , Milena Fini  2 , Elena Bondioli  3 , Sergio Concetti  4 , Alessio Giuseppe Morganti  5 , Federico Contedini  6 , Pierandrea De Iaco  1
Affiliations
Case Reports

A surgical multi-layer technique for pelvic reconstruction after total exenteration using a combination of pedicled omental flap, human acellular dermal matrix and autologous adipose derived cells

Anna Myriam Perrone et al. Gynecol Oncol Rep. .

Abstract

•A multi-layer technique for reconstruction after pelvic exenteration is proposed.•Human acellular dermal matrix used in reconstruction after total pelvic exenteration.•A reconstructive technique based on human dermis, omental flap and fat is proposed.

Keywords: Cervical cancer; Human acellular dermal matrix; Lipofilling; Omental flap; Pelvic exenteration; Pelvic reconstruction.

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Figures

Fig. 1
Fig. 1
Demolitive surgery and first step of reconstructive surgery 1A Pelvic defect after TPE. 1B Pelvic defect filled with PGOF. 1C HADM positioned at the pelvic brim and fixed to pelvic fascia.
Fig. 2
Fig. 2
Second step of reconstructive surgery, 2A Adipose tissue obtained with the lipoaspiration in abdominal subcutaneous fat tissue. 2B PGOF filled with microinjection of adipose tissue to increase its thickness and create a sort of natural hammock.
Fig. 3
Fig. 3
Final imaging result, 2A Final result at MRI performed 30 days after surgery. 3B Final result at CT-scan performed 6 months after surgery.
See this image and copyright information in PMC

References

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