Enhancing Healing and Psychological Comfort through Taylor Flap Reconstruction: Addressing Therapeutic Challenges in a Developing Country

Abstract

This chapter aimed to assess the feasibility and then report the short, medium and long-term results of Taylor flap reconstructions after abdomino-perineal amputation extended to the posterior wall of the vagina, taken by the tumor mass. The essential physical and psychosocial features of hospitals are studied in relationship to various hospital inhabitants’ objective and perceptive health outcomes. These environmental features are interrelated and affect healing.

We describe and analyze below two cases of perineal reconstruction by modified Taylor flap.

Two of our patients underwent abdominoperineal amputations in 2020 due to malignant melanoma of the anal canal and lower rectum adenocarcinoma, respectively. These patients underwent rectus abdominis musculocutaneous flap reconstruction pedicled on the inferior epigastric vessels and with a transverse skin paddle. .

Our two patients underwent a posterior colpectomy associated with abdominoperineal amputation, which improved the quality of life of the patients, in particular an almost normal sexual activity in the medium and long term. the Taylor flap represents the reference technique for covering large pelvic-perineal losses of substance, particularly in enlarged APAs.

The postoperative follow-up was simple with an average hospital stay of 09 days. Abdominoperineal healing completed with a median of 19.5 days.

The implementation of modified Taylor flaps allowed for both patients' psychological comfort in connection with satisfying sexual activity as well as a complete and quick perineal healing.