A pedicled anterolateral thigh flap for reconstruction of peristomal skin necrosis and fascial dehiscence; a case report

Yuki Kowata, Atsushi Takeda, Naoyuki Takagi, Masumi Ota, Denso Hayashi, Masahiro Tachi

Research output: Contribution to journalArticlepeer-review

Abstract

Extensive peristomal skin necrosis is a serious complication caused by infection. Stoma appliance placement makes management of this complication difficult. Herein, we describe our technique for pedicled anterolateral thigh (ALT) flap reconstruction of extensive skin necrosis and fascial dehiscence after an ileostomy. Our patient underwent cystourethrectomy with an ileal conduit. Extensive wound infection resulted in massive peristomal skin necrosis. After surgical debridement, the defect was repaired successfully by an ALT flap. At 2 years postoperatively, our patient maintains an active life style and can operate the ileal conduit pouch with ease.

Original languageEnglish
Pages (from-to)687-692
Number of pages6
JournalJapanese Journal of Plastic Surgery
Volume57
Issue number6
Publication statusPublished - 2014 Jun

ASJC Scopus subject areas

  • Surgery

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