Reconstructive Procedures: Trunk And Perineal Reconstruction
Table of Contents
Pelvic Reconstruction After Cancer Extirpation
With advancement in knowledge, techniques and cancer treatment, resecting cancer surgeons are now performing increasingly complex extirpations of pelvic tumours. These tumours can arise from tissues such as the large intestine, the sacrum, or the prostate. Strong reconstructive support has also enabled these large resection procedures, as the resultant defects can leave a significant wound and dead space. If inadequately reconstructed, there is a high risk of wound breakdown and herniation.
The plastic surgeon’s role in these cases is to provide robust support to the pelvis, sealing off visceral contents from the surface and enabling the patient to return to normal mobility and as close to normal function as possible. This is usually done using meshes and/or the patient’s own tissue in the form of pedicled flaps from the buttock, abdomen, or thighs. Each form of reconstruction has its own benefits and drawbacks. Your plastic surgeon will discuss these options with you to determine the recommended course of action.
With minimally invasive robotic surgery increasingly being used in complex cases, there are instances where dead space does need to be obliterated where there are no external access points apart from small robotic ports. Dr Adrian has been trained in robotic reconstruction, and together with the resecting surgeon can perform reconstruction without the need for external scars, utilizing the rectus abdominis muscle internally. This scarless approach is truly the ultimate in terms of pelvic resection and reconstruction.
PATIENT STORIES
Post Massive Weight Loss Body Contouring
A 40-year-old lady consulted with Dr Pek with the desire to correct large amounts of excess skin and soft tissue. She had undergone Bariatric Surgery (Sleeve Gastrectomy) 2 years prior to her presentation and had successfully lost almost 30kg of weight. With ... Read more
Treating Gynecomastia – Correct Male Breasts through minimally invasive techniques
A 38-year-old male engineer presented to Dr Pek with symptomatic growth of his chest/breast area. Since puberty, he complained of unusually prominent chest tissue around his nipple and areolar region. This had worsened gradually over the years, with the left ... Read more
Upper eyelid lift and eyebags rejuvenation
63 years old Chinese female with hypertension and hyperlipidemia presented to Dr Pek with significant droopiness of her upper eyelids on both sides, affecting the upper portion of her visual field. She would constantly feel that her upper eyelids were heavy, ... Read more
Bilateral breast reconstruction using abdominal free flaps
A 45-year-old mother of 2 children was diagnosed with left breast cancer, for which a skin-sparing mastectomy (total removal of breast tissue leaving behind the skin envelope) was recommended. Read more
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At Polaris Plastic & Reconstructive Surgery, we provide the highest standards of plastic, reconstructive and aesthetic surgery services to suit the individual needs of each of our patients, placing their well-being and concerns at the center of a seamless, holistic interaction with our practice.
Visit us at
1 Orchard Boulevard #10-08 Camden Medical Centre, Singapore 248649
1 Orchard Boulevard #10-08 Camden Medical Centre, Singapore 248649
3 Mount Elizabeth, #08-05 Mount Elizabeth Medical Centre, Singapore 228510
6 Napier Rd, #08-01 Gleneagles Medical Center, Singapore 258499
Tel: +65 6737 4565 | Mobile: +65 8828 4565 | Email: clinic@polarisplasticsurgery.com | Business Hours: Mon - Fri: 9am - 6pm | Sat: 9am - 1pm | Sun/Ph: Closed
6 Napier Rd, #08-01 Gleneagles Medical Center, Singapore 258499
Tel: +65 6737 4565 | Mobile: +65 8828 4565 | Email: clinic@polarisplasticsurgery.com | Business Hours: Mon - Fri: 9am - 6pm | Sat: 9am - 1pm | Sun/Ph: Closed
