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. 2021 Jan;25(1):141-142.
doi: 10.1007/s10151-020-02283-w. Epub 2020 Jun 30.

Bilateral lotus petal flap reconstruction for perianal Paget's disease

Ugo Grossi  1   2 , Giulio Aniello Santoro  3 , Elisa Antoniazzi  4 , Francesco Dell'Antonia  4 , Enrico Busato  5 , Giorgio Berna  4 , Giacomo Zanus  3
Affiliations

Bilateral lotus petal flap reconstruction for perianal Paget's disease

Ugo Grossi et al. Tech Coloproctol. 2021 Jan.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Schematic representation of the lotus petal flap reconstruction
Fig. 2
Fig. 2
Flap planning was performed with handheld Doppler ultrasound to detect perforators of the internal pudendal artery. The excision included all visible lesions in the perianal skin and the posterior part of the vulva, with a 2 cm margin of healthy tissue (a). The outer 1.5 cm of the urethra were mobilized and the transverse perineal muscles exposed, along with the external anal sphincter (b). Two fasciocutaneous lotus petal flaps were centred over the medial thigh crease bilaterally. They were elevated in an posterior-to-anterior direction and posteriorly rotated with a 90° angle to cover the perianal defect. A Foley urinary catheter was left in situ for a total of 7 days (c–e). Immediate postoperative result after flap in-setting and primary closure of the donor site (f)
Fig. 3
Fig. 3
The patient was continent to faeces and urine, with no signs of wound infection, breakdown or haematoma at 4 (a) and 12 weeks (b) postoperatively
See this image and copyright information in PMC

References

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