Perineal wound closure with the rectus abdominis musculocutaneous flap after XXXX ablation.

@entity1 @entity66 @entity28 @entity5 @entity245 @entity292
BACKGROUND: We describe the transpelvic rectus abdominis musculocutaneous flap for closing large, often irradiated, perineal defects in @entity1 with @entity5 . METHODS: We studied 9 @entity1 and 17 @entity1 who underwent wide excision of advanced T3 and T4 @entity5 and who had preoperative chemotherapy, radiotherapy, or both. After @entity5 ablation, we used a transpelvic rectus abdominis musculocutaneous flap to fill pelvic dead space and primarily close the perineal wounds. Twelve simultaneous vaginal reconstructions were performed. RESULTS: Wounds healed promptly in 14 @entity1 . Healing was delayed in the remaining 12 @entity1 due to poor flap adherence to irradiated tissue beds (9), complete flap loss (2), or partial flap loss (1). @entity245 was associated with the combination of @entity28 and prior irradiation. Other perioperative complications included localized abdominal wound infection (2), enterocutaneous @entity292 (1), and abdominal herniation (1). @entity66 was controlled in 20 of 26 @entity1 . Mean follow-up was 22 months. CONCLUSION: Transpelvic rotation of the rectus abdominis musculocutaneous flap facilitates healing large, difficult, perineal wounds, resulting from @entity5 ablation.
