Bilateral lotus petal flap reconstruction for perianal Paget’s disease - Takeaways - 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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  • 1

    A 65-year-old female was diagnosed with Paget’s disease after presenting with pruritus and erythematous plaques in the perianal region.

  • 2

    The patient underwent wide local excision and bilateral lotus petal flap reconstruction, performed by a multidisciplinary panel.

  • 3

    Flap planning utilized handheld Doppler ultrasound to identify perforators of the internal pudendal artery.

  • 4

    Postoperative recovery was uneventful, with complete healing of surgical wounds and normal sphincter function at 3 months.

  • 5

    The patient remained continent to faeces and urine, with no complications such as infection or hematoma at follow-up.

Original Source(s)

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

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