title: Management of the perineal wound after abdominoperineal resection.
abstract: Although many options are available for the management of perineal wounds after abdominoperineal resection, ranging from direct closure to flap reconstruction, treatment remains challenging. A better understanding of the aims, drawbacks and progress in perineal wound management after abdominoperineal rectal resection can help the surgeon make better choices for each patient, but it is very difficult to propose a single, optimal, evidence-based procedure for the management of pelvic exenteration. Recent progress provided by the extralevator abdominoperineal resection technique and perforator flap concepts have changed our conception of reconstruction leading to the different technical options highlighted in this review.
authors: Department of Plastic, Reconstructive and Aesthetic Surgery, Amiens University Medical Center, Hôpital Nord, place Victor-Pauchet, 80054 Amiens cedex 01, France. raphaelsinna@gmail.com
authors: R
authors: R
authors: Sinna
authors: M
authors: M
authors: Alharbi
authors: N
authors: N
authors: Assaf
authors: D
authors: D
authors: Perignon
authors: Q
authors: Q
authors: Qassemyar
authors: M
authors: M
authors: Gianfermi
authors: J-B
authors: JB
authors: Deguines
authors: J-M
authors: JM
authors: Regimbeau
authors: F
authors: F
authors: Mauvais
mesh_terms: D001003:Anal Canal / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012007:Rectum / Q000601:surgery; D013524:Surgical Flaps; D013526:Surgical Mesh; D058106:Wound Closure Techniques / Q000295:instrumentation