Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/494 |
Resumo: | Introduction: There is very high incidence ~of penile cancer in Brazil. Most patients are diagnosed early but one third present with advanced local or regional disease. In cases of major resection with substantial loss of tissue, musculocutaneous flaps may be necessary. Objective: to identify the most used types of flaps and their associated major complications in the reconstruction of complex defects following surgery for locoregionally advanced penile cancer at a Brazilian referral center. Method: A retrospective, observational and descriptive study involving 243 patients treated for penile cancer at Haroldo Juacaba Hospital (Fortaleza, Brazil) between January 2000 and September 2010 of which 35 required reconstruction with surgical flaps. Results: The myocutaneous rectus abdominis flap was the most frequently used (57.2%), followed by the fascia lata flap (31.4%) and the gracilis flap (11.4%). The most common early complications were infection of the surgical wound (37.1%) and partial flap dehiscence (37.1%). The most common late complications were chronic lymphedema (32.3%) and scrotal swelling (29.4%). Conclusion: The myocutaneous rectus abdominis flap was the most frequently used and was found to be safe. The techniques evaluated in this study were associated with significant levels of morbidity which did not compromise flap viability. |
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Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba HospitalExperiencia del Hospital Haroldo Juaçaba con Reconstrucción Utilizando Injertos Miocutáneos em Cirugía para Tratamiento del Cáncer de Pene loco regionalmente AvanzadoExperiência do Hospital Haroldo Juaçaba com Reconstrução Utilizando Retalhos Miocutâneos em Cirurgia para Tratamento do Câncer de Pênis locorregionalmente AvançadoNeoplasias Penianas-cirurgiaRetalhos CirúrgicosReto do AbdomeProcedimentos Cirúrgicos UrológicosProcedimentos Cirúrgicos ReconstrutivosPenile Neoplasms-surgerySurgical FlapsRectus Abdominis Urologic Surgical ProceduresReconstructive Surgical ProcedureNeoplasias del Pene-cirurgíaColgajos QuirúrgicosRecto del AbdomenProcedimientos Quirúrgicos UrológicosProcedimientos Quirúrgicos ReconstructivosIntroduction: There is very high incidence ~of penile cancer in Brazil. Most patients are diagnosed early but one third present with advanced local or regional disease. In cases of major resection with substantial loss of tissue, musculocutaneous flaps may be necessary. Objective: to identify the most used types of flaps and their associated major complications in the reconstruction of complex defects following surgery for locoregionally advanced penile cancer at a Brazilian referral center. Method: A retrospective, observational and descriptive study involving 243 patients treated for penile cancer at Haroldo Juacaba Hospital (Fortaleza, Brazil) between January 2000 and September 2010 of which 35 required reconstruction with surgical flaps. Results: The myocutaneous rectus abdominis flap was the most frequently used (57.2%), followed by the fascia lata flap (31.4%) and the gracilis flap (11.4%). The most common early complications were infection of the surgical wound (37.1%) and partial flap dehiscence (37.1%). The most common late complications were chronic lymphedema (32.3%) and scrotal swelling (29.4%). Conclusion: The myocutaneous rectus abdominis flap was the most frequently used and was found to be safe. The techniques evaluated in this study were associated with significant levels of morbidity which did not compromise flap viability. Introducción: Brasil es un país que posee una alta incidencia de cáncer de pene. En general, el diagnóstico de esta enfermedad se realiza en su fase inicial, sin embargo, un tercio de los pacientes aparecen con la enfermedad, sea local o regional, en estado avanzado. En casos en que se verifican resecciones extensas, con perdida significativa de substancia, puede ser necesaria la utilización de injertos musculo cutáneos. Objetivo: Verificar los tipos de injertos más utilizados y las principales complicaciones en la reconstrucción de defectos complejos post-quirúrgicos para cáncer de pene locorregionalmente avanzado en un centro de referencia en Brasil. Método: Estudio retrospectivo, observacional y descriptivo. Población de 243 pacientes atendidos con diagnostico de cancer de pene en el Hospital Haroldo Juaçaba, entre enero de 2000 y septiembre de 2010. Muestra de 35 pacientes que necesitaron reconstrucción con injerto muscular. Resultados: El injerto donde se utiliza el musculo recto abdominal fue el mas empleado (57,2% de los casos), seguido por el fascia lata (31,4%) y grácil (11,4%). Las complicaciones precoces más comunes fueron la infección de herida operatoria (37,1%) y la dehiscencia parcial del injerto (37,1%). Las complicaciones tardías más comunes fueron el linfedema crónico (32,3%) y el edema de la bolsa escrotal (29,4%). Conclusión: el injerto miocutáneo del musculo recto abdominal fue el mas utilizado y se mostro seguro. Tanto ésta como las demás técnicas utilizadas tuvieron como resultado expresivas tasas de morbilidad, no obstante, sin comprometer la viabilidad del injerto.Introdução: O Brasil e um país que apresenta uma alta incidência em câncer de pênis. Geralmente o diagnóstico dessa afecção e feito no curso inicial da doença, porém 1/3 dos pacientes se apresentam com doença local ou regional avançada. Em casos onde ocorrem ressecções extensas com grande perda de substância, pode ser necessária a utilização de retalhos músculo cutâneos. Objetivo: Identificar quais os tipos de retalhos mais utilizados e as principais complicações na reconstrução de defeitos complexos pós-cirurgia para câncer de pênis locorregionalmente avançado em um centro de referência brasileiro. Método: Estudo retrospectivo, observacional e descritivo. População de 243 pacientes atendidos com diagnóstico de câncer de pênis no Hospital Haroldo Juaçaba, entre janeiro de 2000 e setembro de 2010. Amostra de 35 pacientes que necessitaram de reconstrução com retalho muscular. Resultados: O retalho utilizando o músculo reto abdominal foi o mais usado (57,2%), seguido pelo fáscia lata (31,4%) e grácilis (11,4%). As complicações precoces mais comuns foram infecção de sitio cirúrgico (37,1%) e deiscência parcial do retalho (37,1%). As complicações tardias mais comuns foram linfedema crônico (32,3%) e edema de bolsa escrotal (29,4%). Conclusão: O retalho miocutâneo do músculo reto abdominal foi o mais utilizado e mostrou-se seguro. Essa e as demais técnicas utilizadas resultaram em expressivas taxas de morbidade, porém sem comprometer a viabilidade do retalho. INCA2014-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/49410.32635/2176-9745.RBC.2014v60n1.494Revista Brasileira de Cancerologia; Vol. 60 No. 1 (2014): Jan./Feb./Mar.; 43-50Revista Brasileira de Cancerologia; Vol. 60 Núm. 1 (2014): enero/feb./marzo; 43-50Revista Brasileira de Cancerologia; v. 60 n. 1 (2014): jan./fev./mar.; 43-502176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/494/294Alencar Barreira, Márciode Oliveira Lima, LucasAlves Júnior, Josualdo Justino Gonzaga Silva, Lúcio Flávio Alves Lima, Marcos Venícioinfo:eu-repo/semantics/openAccess2021-11-29T20:10:22Zoai:rbc.inca.gov.br:article/494Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:10:22Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital Experiencia del Hospital Haroldo Juaçaba con Reconstrucción Utilizando Injertos Miocutáneos em Cirugía para Tratamiento del Cáncer de Pene loco regionalmente Avanzado Experiência do Hospital Haroldo Juaçaba com Reconstrução Utilizando Retalhos Miocutâneos em Cirurgia para Tratamento do Câncer de Pênis locorregionalmente Avançado |
title |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
spellingShingle |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital Alencar Barreira, Márcio Neoplasias Penianas-cirurgia Retalhos Cirúrgicos Reto do Abdome Procedimentos Cirúrgicos Urológicos Procedimentos Cirúrgicos Reconstrutivos Penile Neoplasms-surgery Surgical Flaps Rectus Abdominis Urologic Surgical Procedures Reconstructive Surgical Procedure Neoplasias del Pene-cirurgía Colgajos Quirúrgicos Recto del Abdomen Procedimientos Quirúrgicos Urológicos Procedimientos Quirúrgicos Reconstructivos |
title_short |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
title_full |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
title_fullStr |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
title_full_unstemmed |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
title_sort |
Experience of Reconstruction Using Myocutaneous Flaps in Surgery for Penile Cancer locoregionally Advanced Treatment at Haroldo Juaçaba Hospital |
author |
Alencar Barreira, Márcio |
author_facet |
Alencar Barreira, Márcio de Oliveira Lima, Lucas Alves Júnior, Josualdo Justino Gonzaga Silva, Lúcio Flávio Alves Lima, Marcos Venício |
author_role |
author |
author2 |
de Oliveira Lima, Lucas Alves Júnior, Josualdo Justino Gonzaga Silva, Lúcio Flávio Alves Lima, Marcos Venício |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Alencar Barreira, Márcio de Oliveira Lima, Lucas Alves Júnior, Josualdo Justino Gonzaga Silva, Lúcio Flávio Alves Lima, Marcos Venício |
dc.subject.por.fl_str_mv |
Neoplasias Penianas-cirurgia Retalhos Cirúrgicos Reto do Abdome Procedimentos Cirúrgicos Urológicos Procedimentos Cirúrgicos Reconstrutivos Penile Neoplasms-surgery Surgical Flaps Rectus Abdominis Urologic Surgical Procedures Reconstructive Surgical Procedure Neoplasias del Pene-cirurgía Colgajos Quirúrgicos Recto del Abdomen Procedimientos Quirúrgicos Urológicos Procedimientos Quirúrgicos Reconstructivos |
topic |
Neoplasias Penianas-cirurgia Retalhos Cirúrgicos Reto do Abdome Procedimentos Cirúrgicos Urológicos Procedimentos Cirúrgicos Reconstrutivos Penile Neoplasms-surgery Surgical Flaps Rectus Abdominis Urologic Surgical Procedures Reconstructive Surgical Procedure Neoplasias del Pene-cirurgía Colgajos Quirúrgicos Recto del Abdomen Procedimientos Quirúrgicos Urológicos Procedimientos Quirúrgicos Reconstructivos |
description |
Introduction: There is very high incidence ~of penile cancer in Brazil. Most patients are diagnosed early but one third present with advanced local or regional disease. In cases of major resection with substantial loss of tissue, musculocutaneous flaps may be necessary. Objective: to identify the most used types of flaps and their associated major complications in the reconstruction of complex defects following surgery for locoregionally advanced penile cancer at a Brazilian referral center. Method: A retrospective, observational and descriptive study involving 243 patients treated for penile cancer at Haroldo Juacaba Hospital (Fortaleza, Brazil) between January 2000 and September 2010 of which 35 required reconstruction with surgical flaps. Results: The myocutaneous rectus abdominis flap was the most frequently used (57.2%), followed by the fascia lata flap (31.4%) and the gracilis flap (11.4%). The most common early complications were infection of the surgical wound (37.1%) and partial flap dehiscence (37.1%). The most common late complications were chronic lymphedema (32.3%) and scrotal swelling (29.4%). Conclusion: The myocutaneous rectus abdominis flap was the most frequently used and was found to be safe. The techniques evaluated in this study were associated with significant levels of morbidity which did not compromise flap viability. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-03-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/494 10.32635/2176-9745.RBC.2014v60n1.494 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/494 |
identifier_str_mv |
10.32635/2176-9745.RBC.2014v60n1.494 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/494/294 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 60 No. 1 (2014): Jan./Feb./Mar.; 43-50 Revista Brasileira de Cancerologia; Vol. 60 Núm. 1 (2014): enero/feb./marzo; 43-50 Revista Brasileira de Cancerologia; v. 60 n. 1 (2014): jan./fev./mar.; 43-50 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
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Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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INCA |
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INCA |
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Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) |
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Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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rbc@inca.gov.br |
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