title: [Perineal reconstruction: Salvage surgery with 2flaps technique].
abstract: BACKGROUND
  The principles of perineal reconstructive surgery comprise adequate filling of the defect along with stable and durable skin coverage, with a low morbidity rate. Two-flap perineal reconstruction is a simple, fast and reliable technique that uses a single donor site. This improves scar position with low morbidity. It is based in the use of 2flaps; one flap fills the defect with a «turn over» technique and the other is a rotation - advancement flap for skin coverage.
  
  
  METHODS
  A 52-year-old male diagnosed with Lynch syndrome who underwent laparoscopic abdominoperineal amputation for adenocarcinoma of the lower rectum and developed recurrence 2years later over the perineal scar that required radical resection and perineal reconstruction.
  
  
  CONCLUSIONS
  The use of this approach facilitates perineal reconstruction and enables treatment of patients with large and complex defects in frequently irradiated tissues where wound dehiscence and infection are common.
authors.affiliation: Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Jiménez Gómez
authors.affiliation: Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Navarro-Sánchez
authors.affiliation: Departamento de Cirugía Plástica, Estética y Reparadora, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España. Electronic address: jlimsan@gmail.com.
authors.forename: Jaime
authors.initials: J
authors.lastname: Lima Sánchez
authors.affiliation: Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
authors.forename: Juan Ramón
authors.initials: JR
authors.lastname: Hernández Hernández
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000188:drug therapy / Q000235:genetics / Q000532:radiotherapy / Q000601:surgery*; D000671:Amputation, Surgical; D002921:Cicatrix / Q000601:surgery; D003123:Colorectal Neoplasms, Hereditary Nonpolyposis; D006801:Humans; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009366:Neoplasm Seeding; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000235:genetics / Q000532:radiotherapy / Q000601:surgery*; D016879:Salvage Therapy / Q000379:methods*; D013524:Surgical Flaps; D018084:Ultrasonography, Interventional
keywords: Abdominoperineal amputation; Amputación abdominoperineal; Chemotherapy; Colgajos glúteos; Gluteal flaps; Perineal reconstruction; Quimioterapia; Radioterapia; Radiotherapy; Reconstrucción perineal