Bilateral lotus petal flap reconstruction for perianal Paget’s disease - Summary - MDSpire

Bilateral lotus petal flap reconstruction for perianal Paget’s disease

  • By

  • Ugo Grossi

  • Giulio Aniello Santoro

  • Elisa Antoniazzi

  • Francesco Dell’Antonia

  • Enrico Busato

  • Giorgio Berna

  • Giacomo Zanus

  • June 30, 2020

  • 0 min

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Objective:

To report the surgical management of a patient with perianal Paget’s disease using bilateral lotus petal flap reconstruction, highlighting its significance in treatment.

Key Findings:
  • The patient recovered uneventfully with complete healing of surgical wounds.
  • Normal sphincter function was maintained at the 3-month follow-up.
  • No complications such as wound infection, breakdown, or hematoma were observed.
Interpretation:

Bilateral lotus petal flap reconstruction is a viable surgical option for extensive perianal Paget’s disease, ensuring both functional and aesthetic outcomes.

Limitations:
  • Single case report limits generalizability.
  • Long-term outcomes beyond 3 months are not assessed.
  • Lack of comparative studies to evaluate effectiveness against other surgical options.
Conclusion:

Bilateral lotus petal flap reconstruction effectively addresses perianal defects caused by Paget’s disease, preserving sphincter function and promoting healing.

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