Published in:
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
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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 …