Ludolph I, Apel H, Horch RE, Beier J (2014)
Publication Type: Journal article
Publication year: 2014
Publisher: Wiley-Blackwell: No OnlineOpen
Book Volume: 21
Pages Range: 1178-80
Journal Issue: 11
DOI: 10.1111/iju.12545
We present a surgical treatment for bladder reconstruction in a case of chronic vesicocutaneous radiation-induced fistula and reconstruction of the abdominal wall after resection of a liposarcoma in the rectus abdominis muscle. Fistulas are sequelae after radiotherapy. To regain bladder function and reconstitute abdominal wall stability, a microsurgical flap approach should be considered. A male patient underwent resection of a liposarcoma in the rectus abdominis muscle with adjuvant radiotherapy, suffering from a chronic vesicocutaneous fistula. A bipedicled combined latissimus dorsi and serratus anterior flap was carried out after resection of the fistula for reconstruction of the urine bladder and the abdominal wall. Ascending urethrography 4 weeks postoperatively showed no leakage. In the 4-month follow-up period, no signs of recurrence of the fistula or herniation occurred. A bipedicled flap allowed reconstruction of the urine bladder and the abdominal wall. Using non-irradiated, well-perfused intra-abdominal muscle tissue over the urine bladder prevented recurrence of the fistula.
APA:
Ludolph, I., Apel, H., Horch, R.E., & Beier, J. (2014). Treatment of a chronic vesicocutaneous fistula and abdominal wall defect after resection of a soft tissue sarcoma using a bipedicled latissimus dorsi and serratus anterior free flap. International Journal of Urology, 21(11), 1178-80. https://doi.org/10.1111/iju.12545
MLA:
Ludolph, Ingo, et al. "Treatment of a chronic vesicocutaneous fistula and abdominal wall defect after resection of a soft tissue sarcoma using a bipedicled latissimus dorsi and serratus anterior free flap." International Journal of Urology 21.11 (2014): 1178-80.
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