title: V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection.
abstract: BACKGROUND
  The aim of this study was to compare wound complications from V-Y flap vs primary closure in the setting of abdominoperineal resection.
  
  
  METHODS
  This was a single institution retrospective review (1999-2014). The main outcome measures were any wound complication, hospital length of stay, and unplanned readmissions.
  
  
  RESULTS
  Among 80 patients included, 21 (26%) received reconstruction with V-Y flap. Compared with those who received primary closure, patients who underwent V-Y flap reconstruction had lower rates of overall wound complications (14.3% vs 64%, P = .002), superficial surgical site infection (6% vs 32%, P = .05), and wound dehiscence (4.5% vs 14%, P = .251 statistical significance not met).
  
  
  CONCLUSIONS
  Reconstruction of perineal defect following abdominoperineal resection using a V-Y fasciocutaneous flap is a safe and efficacious alternative to traditional simple primary closure and is associated with reduced postoperative morbidity. Further comparative effectiveness studies should be undertaken to evaluate long-term and quality-of-life outcomes.
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address: gkokosis11@yahoo.gr.
authors: George
authors: G
authors: Kokosis
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Zhifei
authors: Z
authors: Sun
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Yash J
authors: YJ
authors: Avashia
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Mohamed A
authors: MA
authors: Adam
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Howard
authors: H
authors: Levinson
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Detlev
authors: D
authors: Erdmann
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: Christopher R
authors: CR
authors: Mantyh
authors: Department of Surgery, Duke University Medical Center, Durham, NC, USA.
authors: John
authors: J
authors: Migaly
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000368:Aged; D001005:Anus Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps
keywords: Abdominoperineal resection; Fasciocutaneous flaps; Perineal reconstruction; V-y flaps