八巻　隆    Department   School of Medicine(Tokyo Women's Medical University Adachi Medical Center), School of Medicine    Position   Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Reconstruction of perianal skin defect using a V-Y advancement of bilateral gluteus maximus musculocutaneous flaps: reconstruction considering anal cleft and anal function.
Journal	Formal name：British journal of plastic surgery Abbreviation：Br J Plast Surg ISSN code：0007-1226(Print)0007-1226(Linking)
Volume, Issue, Page	52(6),pp.471-5
Author and coauthor	Sasaki K, Nozaki M, Kikutchi Y, Yamaki T, Soejima K
Publication date	1999/09
Summary	In order to preserve the anal function after ano-perianal skin excision for malignancy, we have reconstructed a deep, symmetrical natal cleft using a V-Y advancement of bilateral gluteus maximus musculocutaneous flaps thinned medially and sutured to the ooccyx, anococcygeal ligament and the central tendon of the perineum. This technique was applied in three cases of Bowen's disease and two cases of Paget's disease. In all five cases, postoperative anal functions such as comfortable defecation and sensation, were well preserved, the perianal skin and underwear stayed clean, and there was no disturbance of walking or exercise.
DOI	10.1054/bjps.1999.3130
Document No.	10673924