title: Complications of the 'Enhanced Recovery after Surgery Programme' following pedicled vertical rectus abdominis myocutaneous flap in perineum reconstruction.
abstract: The enhanced recovery programme, pioneered in the colorectal surgical setting, aims to reduce the length of inpatient stay following a procedure and was started in our trust in 2006. We present the case of a patient who underwent perineal reconstruction with a pedicled vertical rectus abdominis myocutaneous (VRAM) who subsequently developed bladder outflow obstruction compromising flap viability. As a result of our experience we are in the process of producing new guidelines that advocate patients undergoing a VRAM flap for perineal reconstruction should be exempt from aspects of the enhanced recovery programme, in particular early removal of the catheter should be avoided.
authors.affiliation: Department of Plastic and Burns Surgery, Nottingham University Hospitals, Nottingham, UK.
authors.forename: Sameena
authors.initials: S
authors.lastname: Hassan
authors.forename: Yu Sin
authors.initials: YS
authors.lastname: Lau
authors.forename: Graeme
authors.initials: G
authors.lastname: Perks
authors.forename: Anna
authors.initials: A
authors.lastname: Raurell
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D064827:Myocutaneous Flap / Q000098:blood supply* / Q000637:transplantation; D010502:Perineum / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012004:Rectal Neoplasms / Q000601:surgery*; D017568:Rectus Abdominis / Q000098:blood supply* / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D001748:Urinary Bladder Neck Obstruction / Q000000981:diagnostic imaging*