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Techniques in Coloproctology
Published in: Techniques in Coloproctology 2/2017

Open Access 01-02-2017 | Trick of the Trade

Gluteal transposition flap without donor site scar for closing a perineal defect after abdominoperineal resection

Authors: R. D. Blok, O. Lapid, W. A. Bemelman, P. J. Tanis

Published in: Techniques in Coloproctology | Issue 2/2017

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Excerpt

Abdominoperineal resection (APR) is still associated with substantial morbidity related to the perineal wound [1]. Perineal wound problems are observed in up to 47% of patients, with secondary hernia formation in up to 26% [2, 3]. …
Literature
1.
Musters GD, Buskens CJ, Bemelman WA, Tanis PJ (2014) Perineal wound healing after abdominoperineal resection for rectal cancer: a systematic review and meta-analysis. Dis Colon Rectum 57:1129–1139CrossRefPubMed
2.
Bullard KM, Trudel JL, Baxter NN, Rothenberger DA (2005) Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failure. Dis Colon Rectum 48:438–443CrossRefPubMed
3.
Sayers A, Patel R, Hunter I (2015) Perineal hernia formation following extralevator abdominoperineal excision. Colorectal Dis 17:351–355CrossRefPubMed
4.
5.
Nelson RA, Butler CE (2009) Surgical outcomes of VRAM versus thigh flaps for immediate reconstruction of pelvic and perineal cancer resection defects. Plast Reconstr Surg 123:175–183CrossRefPubMed
Metadata
Title
Gluteal transposition flap without donor site scar for closing a perineal defect after abdominoperineal resection
Authors
R. D. Blok
O. Lapid
W. A. Bemelman
P. J. Tanis
Publication date
01-02-2017
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 2/2017
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-016-1552-1

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