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Clinical Presentation A 14-year-old intersex White person had been born with ambiguous genitalia. The patient decided to be a male but unfortunately all male genital organs had been removed at a young age. The patient now strongly desired a transformation…
Clinical Presentation A 68-year-old Asian woman had radiation therapy for early-stage cervical cancer about 40 years ago in Asia and remained cancer free for a long time but unfortunately developed recurrent cervical cancer. She was offered an anterior pelvic exenteration…
Clinical Presentation An 86-year-old White female underwent a wide local excision (WLE) for a vulvar squamous cell cancer (SCC) by the gynecologic oncology service. A 15 × 8-cm large soft tissue defect remained over the vulva down to the deep muscles…
Clinical Presentation A 34-year-old White male was diagnosed with advanced rectal cancer and had been scheduled for an abdominoperineal resection (APR) by the colorectal service. Because his perineal resection could be extensive with a potential dead space within the pelvic…
Case 1 Clinical Presentation A 63-year-old White female had chronic recurrent drainage from her right buttock for the past 2 years. She had a resection of malignant fibrohistiocytoma and postoperative irradiation in the region approximately 20 years ago. She was…
Case 1 Clinical Presentation A 35-year-old Hispanic paraplegic female developed a sacral pressure sore when she was in hospital to give birth ( Fig. 33.1 ). This was the first time she had a pressure sore since she became paraplegic as…
Case 1 Clinical Presentation A 64-year-old White male with a history of hypertension and two previous coronary artery bypass grafting surgeries underwent uneventful heart transplantation for severe congestive heart failure. During his cardiac transplant surgery, the left femoral artery and…
Case 1 Clinical Presentation A 68-year-old White male had a complicated postoperative course after an osteocutaneous flap harvest from his right hip by another surgical service. He had a significantly large open wound over the right hip, measuring 25 × 10 cm,…
Case 1 Clinical Presentation A 14-year-old Black American morbidly obese female underwent hemipelvectomy for a pelvis osteosarcoma. She subsequently underwent pelvic reconstruction with a free fibular vascularized bone graft and a reconstruction plate by the orthopedic oncology and hand surgery…
Case 1 Clinical Presentation A 45-year-old White female sustained a chronic radiation wound, measuring 10 × 9 cm, over her upper lumbar area with exposed spinal processes ( Fig. 29.1 ). This wound was a complication of radiation to the area for treatment…