Pelvic floor reconstruction by modified rectus abdominis
myoperitoneal (MRAM) flap after pelvic exenterations

J 2017

Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations

CIBULA, D., M. ZIKAN, D. FISCHEROVA, R. KOCIAN, A. GERMANOVA et. al.

Basic information

Original name

Pelvic floor reconstruction by modified rectus abdominis myoperitoneal (MRAM) flap after pelvic exenterations

Authors

CIBULA, D. (203 Czech Republic), M. ZIKAN (203 Czech Republic), D. FISCHEROVA (203 Czech Republic), R. KOCIAN (203 Czech Republic), A. GERMANOVA (203 Czech Republic), A. BURGETOVA (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, guarantor, belonging to the institution), Z. FARTÁKOVÁ (203 Czech Republic), M. SCHNEIDEROVÁ (203 Czech Republic), K. NEMEJCOVÁ (203 Czech Republic) and J. SLAMA (203 Czech Republic)

Edition

Gynecologic Oncology, San Diego, Academic Press Inc Elsevier Science, 2017, 0090-8258

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 4.540

RIV identification code

RIV/00216224:14110/17:00096337

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.ygyno.2017.01.014

UT WoS

000395852100019

Keywords in English

Empty pelvic syndrome; Muscular flap; Pelvic exenteration; Pelvic floor reconstruction

Abstract

V originále

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).

Citovat

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.

@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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