Closure of persistent post-proctectomy perineal sinus using a rectus muscle flap.
A persistent perineal sinus following proctocolectomy or proctectomy is a not infrequent complication associated with considerable morbidity. Two cases are presented where the perineal sinus was closed using a rectus abdominis flap. This method of closure allows safe, complete excision of the sinus and insertion of a muscle flap which completely fills the defect, enabling complete, primary healing of the perineum.
Cox
M R
MR
Belfast City Hospital, Northern Ireland, UK.
Parks
T G
TG
Hanna
W A
WA
Leonard
A G
AG
D000328:Adult; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications; D011859:Radiography; D012007:Rectum / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*