CIBULA, D., M. ZIKAN, D. FISCHEROVA, R. KOCIAN, A. GERMANOVA, A. BURGETOVA, Ladislav DUŠEK, Z. FARTÁKOVÁ, M. SCHNEIDEROVÁ, K. NEMEJCOVÁ and J. SLAMA. Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations. Gynecologic Oncology. San Diego: Academic Press Inc Elsevier Science, 2017, vol. 144, No 3, p. 558-563. ISSN 0090-8258. Available from: https://dx.doi.org/10.1016/j.ygyno.2017.01.014. |
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@article{1376232, author = {Cibula, D. and Zikan, M. and Fischerova, D. and Kocian, R. and Germanova, A. and Burgetova, A. and Dušek, Ladislav and Fartáková, Z. and Schneiderová, M. and Nemejcová, K. and Slama, J.}, article_location = {San Diego}, article_number = {3}, doi = {http://dx.doi.org/10.1016/j.ygyno.2017.01.014}, keywords = {Empty pelvic syndrome; Muscular flap; Pelvic exenteration; Pelvic floor reconstruction}, language = {eng}, issn = {0090-8258}, journal = {Gynecologic Oncology}, title = {Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations}, volume = {144}, year = {2017} }
TY - JOUR ID - 1376232 AU - Cibula, D. - Zikan, M. - Fischerova, D. - Kocian, R. - Germanova, A. - Burgetova, A. - Dušek, Ladislav - Fartáková, Z. - Schneiderová, M. - Nemejcová, K. - Slama, J. PY - 2017 TI - Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations JF - Gynecologic Oncology VL - 144 IS - 3 SP - 558-563 EP - 558-563 PB - Academic Press Inc Elsevier Science SN - 00908258 KW - Empty pelvic syndrome KW - Muscular flap KW - Pelvic exenteration KW - Pelvic floor reconstruction N2 - Objective To describe the technique and report experiences with pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after extensive pelvic procedures. Methods Surgical technique of MRAM harvest and transposition is carefully described. The patients in whom pelvic floor reconstruction with MRAM after either infralevator pelvic exenteration and/or extended lateral pelvic sidewall excision was carried out were enrolled into the study (MRAM group, n = 16). Surgical data, post-operative morbidity, and disease status were retrospectively assessed. The results were compared with a historical cohort of patients, in whom an exenterative procedure without pelvic floor reconstruction was performed at the same institution (control group, n = 24). Results Both groups were balanced in age, BMI, tumor types, and previous treatment. Substantially less patients from the MRAM group required reoperation within 60 days of the surgery (25% vs. 50%) which was due to much lower rate of complications potentially related to empty pelvis syndrome (1 vs. 7 reoperations) (p = 0.114). ER -
CIBULA, D., M. ZIKAN, D. FISCHEROVA, R. KOCIAN, A. GERMANOVA, A. BURGETOVA, Ladislav DUŠEK, Z. FARTÁKOVÁ, M. SCHNEIDEROVÁ, K. NEMEJCOVÁ and J. SLAMA. Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations. \textit{Gynecologic Oncology}. San Diego: Academic Press Inc Elsevier Science, 2017, vol.~144, No~3, p.~558-563. ISSN~0090-8258. Available from: https://dx.doi.org/10.1016/j.ygyno.2017.01.014.
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