title: [Abdominoperineal resection in anal cancer: Reconstruction of the perineum with a myocutaneous flap from the anterior rectus abdominis muscle].
abstract: BACKGROUND
  Abdominoperineal resection after radiotherapy has a high rate of perineal wound complications. The aim of this retrospective study was to evaluate the results of perineal reconstruction with a rectus abdominis muscle myocutaneous flap in patients with recurrent or persistent anal cancer.
  
  
  METHODS
  Between 2006 and 2010, six male HIV+ patients were treated after initial treatment failure with chemotherapy. An anterior rectal myocutaneous flap was performed after abdominal-perineal excision.
  
  
  RESULTS
  The mean age was 36.3 years (range: 30-42). Primary healing of the perineal wound was achieved in the first thirty days. There were no major complications in the immediate post-surgical period or after a mean follow up of 26.5 months. There were 2 (33.3%) minor complications associated with the perineal wound. There were no complications of the abdominal wall.
  
  
  CONCLUSIONS
  The use of an anterior rectus abdominis myocutaneous flap in patients with recurrent or persistent anal cancer is associated with a low rate of perineal complications.
authors.affiliation: Hospital Meixoeiro, Vigo, Pontevedra, España. jose.enrique.casal.nunez@sergas.es
authors.forename: José Enrique Casal
authors.initials: JE
authors.lastname: Núñez
authors.forename: Nieves Cáceres
authors.initials: NC
authors.lastname: Alvarado
authors.forename: Alberto de Sanildefonso
authors.initials: Ade S
authors.lastname: Pereira
authors.forename: M Ángeles Toscano
authors.initials: MÁ
authors.lastname: Novelle
authors.forename: M Teresa García
authors.initials: MT
authors.lastname: Martínez
authors.forename: Patricia Jove
authors.initials: PJ
authors.lastname: Albores
mesh_terms: D000328:Adult; D001005:Anus Neoplasms / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D010502:Perineum / Q000601:surgery*; D017568:Rectus Abdominis / Q000637:transplantation; D012189:Retrospective Studies; D013524:Surgical Flaps