title: [Perineal soft-tissue reconstruction with vertical rectus abdominis myocutan (VRAM) flap following extended abdomino-perineal resection for cancer].
abstract: Perineal wound healing problems following extended abdomino-perineal resection of ano-rectal cancer represent a great challenge to the surgeon. Perineal soft-tissue reconstruction with a myocutan flap was thought to reduce surgical wound healing complications. A review of the relevant literature was carried out on perineal soft-tissue reconstruction with rectus abdominis myocutan (VRAM) flap following extended abdomino-perineal rectal resection for cancer. The more commonly used neoadjuvant chemo- and radiotherapy as well as extended surgical radicality resulted in increased perioperative risks, therefore combined procedures between the colorectal and plastic surgical teams are inevitable. This case report illustrates the above trend.
authors.affiliation: Semmelweis Egyetem II. sz. Sebészeti Klinika 1125 Budapest. bgabor68@gmail.com
authors.forename: Gábor
authors.initials: G
authors.lastname: Bognár
authors.forename: András
authors.initials: A
authors.lastname: Novák
authors.forename: Gábor
authors.initials: G
authors.lastname: István
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Lóderer
authors.forename: György
authors.initials: G
authors.lastname: Ledniczky
authors.forename: Pál
authors.initials: P
authors.lastname: Ondrejka
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D001005:Anus Neoplasms / Q000601:surgery; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000601:surgery*; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps; D016896:Treatment Outcome