Perineal Reconstruction

Chapter 15 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

14 viva questions in this chapter

1. Describe this photograph.
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2. What is the resection likely to have been?
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3. What is ELAPE?
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4. Where does the reconstruction get planned?
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5. Why not just close it directly?
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6. Flap or mesh, then?
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7. What does UK practice actually look like?
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8. What is your flap of choice?
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9. Take me through a VRAM.
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10. What is component separation?
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11. What about the omentum?
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12. She also needs a vaginal reconstruction. How does that change things?
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13. What is the risk of a perineal hernia, and what would you do about one?
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14. How do you look after them afterwards?
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