Abstract
PURPOSES: In this study we present our experience with treating persistent sacral and perineal defects secondary to radiation and abdominoperineal resection with or without sacrectomy. METHODS: Fifteen consecutive patients were treated with an inferiorly based transpelvic rectus abdominis muscle or musculocutaneous flap. RESULTS: Fourteen of the 15 patients achieved healing, and 7 patients had no complications. The remaining eight patients required one or more operative debridements and/or prolonged wound care to accomplish a healed wound. Our technique for the dissection and insetting of the transpelvic muscle flap is presented. CONCLUSION: The difficult postirradiated perineal and sacral wounds can be healed with persistent surgical attention to adequate debridement, control of infections, and a well-vascularized muscle flap. The most satisfying aspects for patients are the discontinuance of foul-smelling discharge, discontinuation of multiple, daily dressing changes, and reduction in the degree of chronic pain.
Original language | English (US) |
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Pages (from-to) | 940-945 |
Number of pages | 6 |
Journal | Diseases of the Colon & Rectum |
Volume | 38 |
Issue number | 9 |
DOIs | |
State | Published - Sep 1995 |
Keywords
- Rectus abdominis myocutaneous flap
- Sacral and perineal defects
ASJC Scopus subject areas
- Gastroenterology