title: Lotus petal perforator flap for reconstruction of an extended chronic presacral defect after radiotherapy and rectal cancer resection.
abstract: OBJECTIVE
  As a result of their extent and complexity, pelvic wounds after surgery for anorectal malignancy often require a multidisciplinary approach to accomplish closure. This report describes a successful reconstruction using the lotus petal perforator flap.
  
  
  METHODS
  This flap is based on perforators of the internal pudendal artery and was partially depithelialized for plugging the defect.
  
  
  RESULTS
  Wound healing was achieved after 12 days.
  
  
  CONCLUSIONS
  The lotus petal flap is a relatively simple and successful choice for reconstruction of an extended chronic presacral defect after radiotherapy and rectal cancer resection.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
authors.forename: J G
authors.initials: JG
authors.lastname: van der Meer
authors.forename: E
authors.initials: E
authors.lastname: Moerman
authors.forename: A L
authors.initials: AL
authors.lastname: van de Kar
authors.forename: M
authors.initials: M
authors.lastname: Vermaas
authors.forename: M F
authors.initials: MF
authors.lastname: Gerhards
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D000368:Aged; D001706:Biopsy; D003082:Colectomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D061525:Perforator Flap; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000532:radiotherapy / Q000601:surgery*; D017568:Rectus Abdominis / Q000637:transplantation*; D014945:Wound Healing
keywords: Presacral; anorectal; defect; lotus petal; malignancy; reconstruction