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Reconstruction of the Pelvis and Perineum

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Rectal Cancer

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Abstract

Reconstruction of the perineum is a common demand placed upon the multidisciplinary surgical team charged with the care of pelvic oncology patients. The perineum is one of the most challenging regions to adequately and safely reconstruct. Significant dead space volume, close proximity of local organs, increased bacterial susceptibility, and extended periods of direct wound pressure (i.e., sitting, lying in bed) all serve to complicate surgical efforts. In this chapter, we will discuss the reconstructive techniques available for perineal defects with the chief focus being to prevent and treat perineal wounds, all toward maximizing surgical outcomes for the patient.

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Authors and Affiliations

  1. The Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD, 21287, USA

    Nicholas Calotta & Justin M. Sacks

Authors
  1. Nicholas Calotta
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  2. Justin M. Sacks
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Correspondence to Justin M. Sacks .

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Editors and Affiliations

  1. Department of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA

    George J. Chang

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Calotta, N., Sacks, J.M. (2018). Reconstruction of the Pelvis and Perineum. In: Chang, G. (eds) Rectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-16384-0_15

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  • DOI: https://doi.org/10.1007/978-3-319-16384-0_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16383-3

  • Online ISBN: 978-3-319-16384-0

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