Use of myocutaneous flaps for perineal closure following abdominoperineal excision of the rectum for adenocarcinoma

Abstract

The use of flap closure in irradiated patients is associated with fewer perineal complications and a shorter hospital stay.

Rectus abdominis myocutaneous flaps for perineal reconstruction: modifications to the technique based on a large single-centre experience

“…In the most recent paper published, this figure was 17% for all types of myocutaneous flaps. 13 Our results compare favourably with the above, with only one flap failure but otherwise no major wound break- down and minor wound breakdown in 31%.…”

Real world dehiscence rates for patients undergoing abdominoperineal resection with or without myocutaneous flap closure in the national surgical quality improvement project

“…However, our findings disagree with a number of much smaller series from specialized oncology centers [12,13]. Further, Howell et al, in a systematic review of FC with VRAM flaps [12][13][14][15][16] or gracilis flaps [14,15,17,18] following APR, showed weak evidence in favor of FC for previously irradiated patients though failed to show similar evidence for non-irradiated patients [2]. As noted by Howell et al, study in this area has been limited by small sample size, heterogeneous patient population, and variable definitions of wound complications.…”

Reconstrucción perineal con doble colgajo de gracilis en cáncer de vulva. Reporte de caso y revisión de la literatura

“…Sólo una de estas pacientes presentó como complicación sangrado perineal 90 días después del procedimiento 10 . Hasta el 89% de las pacientes sometidas a este tipo de reconstrucción cuentan con el antecedente de radioterapia 2 , el cual incrementa de un 14 a un 40% la tasa de complicaciones 8 . En nuestra paciente se consideró como forma inicial de reconstrucción perineal la utilización de colgajo musculocutáneo de recto abdominal (TRAM); sin embargo, por la necesidad de construir estomas para la derivación intestinal y urinaria en el abdomen, dicha opción fue abandonada.…”