Surgical Reconstruction of Perineum and Abdominal Wall: Systematic Review

Farraj Abdullah AL-zahrani, Alaa Ahmed Saif, Rakan Nizar Wizza, Ahmad Nezar Joharji, Salman Abdulrhman Alolait, Ahmad Shueai Salahi

Abstract: This systematic review focuses on evaluating the reconstruction plastic surgical techniques of perineum, and abdominal wall defects, we intended to discuss the impact of surgical reconstruction on patients from different perspectives, and also to show different defects causes and their proper management. An organized search of PubMed was conducted up to December 2016 using the search terms: "perineum flaw" "abdominoperineal excision" or "abdominoperineal resection" in order to recognize research studies assessing the various techniques for reconstruction of the premium region and abdominal wall floor. Numerous factors like size and character of the flaw have to receive attention, but typically a pedicled flap like ALT flap or VRAM flap could be utilized. proof revealed patient who presents with an intricate stomach wall hernia, based upon the criteria used in this study, must consist of an assessment of the elements and place of the defect. Adequate tissue for direct closure is usually not available. When steady skin protection is present, intraperitoneal mesh positioning is recommended. When cutaneous protection is absent or compromised, abdominal wall reconstruction typically requires use of a flap. Keywords: ALT flap or VRAM flap, Perineum and Abdominal Wall. Title: Surgical Reconstruction of Perineum and Abdominal Wall: systematic review Author: Farraj Abdullah AL-zahrani, Alaa Ahmed Saif, Rakan Nizar Wizza, Ahmad Nezar Joharji, Salman Abdulrhman Alolait, Ahmad Shueai Salahi International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Surgical Reconstruction of Perineum and Abdominal Wall: Systematic Review by Farraj Abdullah AL-zahrani, Alaa Ahmed Saif, Rakan Nizar Wizza, Ahmad Nezar Joharji, Salman Abdulrhman Alolait, Ahmad Shueai Salahi