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Review
. 2022 Mar 7;35(3):212-220.
doi: 10.1055/s-0042-1742414. eCollection 2022 May.

Management of Perineal Wounds Following Pelvic Surgery

George A Mori  1 , Jim P Tiernan  1
Affiliations
Review

Management of Perineal Wounds Following Pelvic Surgery

George A Mori et al. Clin Colon Rectal Surg. .

Abstract

Despite advancements in understanding and technique, there remain significant challenges in the management of a complex perineal wound following pelvic surgery. Complications including wound sepsis, fistulation, persistent sinus, and herniation produce additional morbidity and health care costs. This article details the methods of optimizing patient and operative factors to mitigate this risk, alongside strategies to deal with sequelae of wound failure.

Keywords: IGAP; abdominoperineal tesection; exenteration; gluteal flap; perineal wound; vertical rectus abdominis myocutaneous.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Patient undergoing abdominoperineal resection for an anal squamous cell cancer refractory to chemoradiation. (Image courtesy of Dr. Vladimir Bolshinsky, Melbourne, Australia.)
Fig. 2
Fig. 2
Closure of perineal defect with left inferior gluteal artery myocutaneous island flap. ( A ) Defect following radical excision of advanced anal squamous cell cancer. ( B ) Flap mobilization. ( C ) Flap placement. ( D ) Closure complete. (Images courtesy of Dr. Vladimir Bolshinsky, Melbourne, Australia.)
See this image and copyright information in PMC

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