THE INTERNAL PUDENDAL ARTERY PERFORATOR FLAP: PEDICLE PERFORATOR FLAPS FOR PERINEAL RECONSTRUCTION

Trịnh Quang Hà1,, Trần Quang Lộc2, Hoàng Tuấn Anh2
1 Le Huu Trac National Burn Hospital
2 Hanoi Medical University Hospital

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Abstract

Objectives: Research on the internal pudendal artery perforator in MDCT (multi detector computed tomography) and internal pudendal artery perforator flap in the treatment of the perineal burn scar contracture. Subjects and methods: A descriptive study of case series performed on 30 images of internal pudendal artery perforator on MDCT of 15 patients. Results: We obtained 30 images of internal pudendal artery perforator in MDCT. Regarding the characteristics, we noted the mean age of patients was 35 years old. The average dimension artery was 1,31mm, average length was 23,39mm and the average distance to top of ischial tuberosity was 30,18mm. We obtained the uniformity of the position for the perforator and the distance to the top of ischial tuberosity, and effect on flap design in clinical. Conclusion: The internal pudendal artery perforator is constant and applicable in the surgical treatment of the perineal burn scar contracture.

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References

1. Coltro, P.S., et al., Evaluation of cutaneous sensibility of the internal pudendal artery perforator (IPAP) flap after perineal reconstructions. J Plast Reconstr Aesthet Surg, 2015. 68(2): p. 52-61.
2. Coltro, P.S., et al., Outcomes of Immediate Internal Pudendal Artery Perforator Flap Reconstruction for Irradiated Abdominoperineal Resection Defects. Dis Colon Rectum, 2017. 60(9): p. 945-953.
3. Hashimoto, I., G. Murakami, and H. Nakanishi, First cutaneous branch of the internal pudendal artery: an anatomical basis for the so-called gluteal fold flap. Okajimas Folia Anal 2001. 78(1): p. 23-30.
4. Hashimoto, I., Y. Abe, and H. Nakanishi, The internal pudendal artery perforator flap: free-style pedicle perforator flaps for vulva, vagina, and buttock reconstruction. Plast Reconstr Surg, 2014. 133(4): p. 924-933.
5. Hashimoto, I., et al., Development of skin flaps for reconstructive surgery: random pattern flap to perforator flap. Journal Article, 2016. 63(3.4): p. 159-162.
6. Giroux, P. A., Dast, S., Assaf, N., Lari, A., & Sinna, R. Internal pudendal perforator artery flap harvesting without pre-operative imaging: Reliability and approach. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2021. 74(6), 1355-1401.
7. Sonda, R., et al., Gender-specific Anatomical Distribution of Internal Pudendal Artery Perforator: A Radiographic Study for Perineal Reconstruction. Plast Reconstr Surg Glob Open, 2020. 8(10): p. e3177