Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 2/2005

01-02-2005 | Editorial

Pelvic Reconstruction After Abdominoperineal Resection: Is It Worthwhile?

Authors: Charles E. Butler, MD, FACS, Miguel A. Rodriguez-Bigas, MD, FACS

Published in: Annals of Surgical Oncology | Issue 2/2005

Login to get access

Excerpt

The management of the perineal wound after an abdominoperineal resection (APR) has represented a challenge to surgeons. Perineal wound complications after APR have been reported to occur in 25% to 60% of cases,1,2 and rates are higher after resection of multiple visceral organs. Thus, general, oncological, colorectal, and other pelvic surgeons, in conjunction with plastic and reconstructive surgeons, have sought innovative ways to reduce perineal wound morbidity. Post-APR reconstruction of the pelvis with a vertical rectus abdominis musculocutaneous (VRAM) flap has been one such method.3 …
Literature
1.
Khoo, AKM, Skibber, JM, Nabawi, AS,  et al. 2001Indications for immediate tissue transfer for soft tissue reconstruction in visceral pelvic surgerySurgery1304639CrossRefPubMed
2.
Buchel, EW, Finical, S, Johnson, C 2004Pelvic reconstruction using rectus abdominis musculocutaneous flapsAnn Plast Surg.52226
3.
Kroll, SS, Pollock, R, Jessup, JM, Ota, D 1989Transpelvic rectus abdominis flap reconstruction following abdominoperineal resectionAm J Surg.556327
4.
Chessin DB, Hartley J, Cohen AM, et al. Rectus flap reconstruction decreases perineal wound complications following pelvic chemoradiation and surgery: a cohort study. Ann Surg Oncol (in press).
5.
Shibata, D, Hyland, W, Busse, P,  et al. 1999Immediate reconstruction of the perineal wound with gracilis muscle flaps following abdominoperineal resection and intraoperative radiation therapy for recurrent carcinoma of the rectumAnn Surg Oncol.6337
Metadata
Title
Pelvic Reconstruction After Abdominoperineal Resection: Is It Worthwhile?
Authors
Charles E. Butler, MD, FACS
Miguel A. Rodriguez-Bigas, MD, FACS
Publication date
01-02-2005
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 2/2005
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/ASO.2005.11.923

Other articles of this Issue 2/2005

Annals of Surgical Oncology 2/2005 Go to the issue

Letters to the Editor

It Is Still Not the Time to Change Surgical Strategy for Gastric Cancer

OriginalPaper

Prospective Evaluation of Quality of Life of Patients Receiving Either Abdominoperineal Resection or Sphincter-Preserving Procedure for Rectal Cancer

OriginalPaper

Popliteal Lymph Node Dissection

OriginalPaper

Relationship Between Pathologic T-Stage and Nodal Metastasis After Preoperative Chemoradiotherapy for Locally Advanced Rectal Cancer

OriginalPaper

Electrical Impedance Scanning of Thyroid Nodules Before Thyroid Surgery: A Prospective Study

OriginalPaper

Rectus Flap Reconstruction Decreases Perineal Wound Complications After Pelvic Chemoradiation and Surgery: A Cohort Study