Reconstruction of gluteal deformities: a systematic review and experience of four cases.

Détails

ID Serval
serval:BIB_63F0A137316C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Reconstruction of gluteal deformities: a systematic review and experience of four cases.
Périodique
Journal of plastic surgery and hand surgery
Auteur(s)
Tremp M., di Summa P.G., Oranges C.M., Schaefer D.J., Kalbermatten D.F.
ISSN
2000-6764 (Electronic)
ISSN-L
2000-6764
Statut éditorial
Publié
Date de publication
10/2017
Peer-reviewed
Oui
Volume
51
Numéro
5
Pages
313-322
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
The reconstruction of gluteal deformities remains a major challenge. The aim of this article is to provide a systematic review of the literature concerned, and to present a case series with representative defects from various zones.
A review of the literature was performed using PubMed, EMBASE, and The Cochrane Library, in accordance with the PRISMA statement. Quality of evidence was rated according to GRADE. Patients with various buttock deformities were included and, depending on the defect, the reconstructive techniques applied consisted of lipoinjection, local fasciocutaneous flap, or pedicled gracilis muscle flap. Complications, patient's pain assessment, impairment in everyday-life activities, aesthetic outcome, objective assessment of sensitivity, and recurrence were considered.
A total of 498 records were identified in the literature search. Of those, 12 studies met the PICOS (participants, interventions, comparators, outcomes, and study design) criteria. Overall, 41 patients were analysed, the evidence of which was of low quality. In this study, four patients (three female and one male) with a mean age of 44 ± 15 years were operated on between 2010-2014. The mean operation time was 83 ± 30 minutes. One patient required revision due to persistent seroma and recurrence, and one patient required neurolysis and gracilis denervation due to neuroma and scarring. After a mean follow-up of 40 ± 21 months, the results were functionally and cosmetically satisfactory.
Reconstruction of buttock deformities using an integrated approach can lead to a long-lasting, functionally and aesthetically satisfactory result. However, evidence is limited due to the lack of good-quality studies.
Mots-clé
Adipose Tissue/blood supply, Adipose Tissue/transplantation, Adult, Buttocks/injuries, Buttocks/surgery, Esthetics, Female, Follow-Up Studies, Humans, Male, Middle Aged, Reconstructive Surgical Procedures/methods, Risk Assessment, Sampling Studies, Surgical Flaps/blood supply, Surgical Flaps/transplantation, Treatment Outcome, Wound Healing/physiology, Wounds and Injuries/diagnosis, Wounds and Injuries/surgery, Buttock reconstruction, buttock region, gluteal contour, gluteoplasty
Pubmed
Web of science
Création de la notice
21/12/2016 11:39
Dernière modification de la notice
20/08/2019 15:20
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