Gracilis muscle flap for closure of the persistent perineal sinus.
A persistent perineal sinus may develop in those patients undergoing proctocolectomy for inflammatory intestinal disease. Healing often resists the traditional methods of wound management. Wide excision, transposition of the vascularized gracilis muscle flap into the rigid cavity and closure have all allowed rapid primary healing to occur and the return of these patients to full function.
D003050:Coccyx / Q000601:surgery; D003082:Colectomy; D005260:Female; D006801:Humans; D009132:Muscles / Q000637:transplantation*; D010502:Perineum / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012447:Sacrum / Q000601:surgery; D013848:Thigh / Q000601:surgery