Abstract
Healing tissues by first intention after abdominoperineal resection (APR) for rectal cancer (RC) is difficult to achieve due to the large tissue deficit and the anatomical and functional complexity of the pelvic region. APR in RC removes a much tissue that connects the abdominal cavity with the exterior of the body, with the risk of severe complications. APR must therefore be well planned out in a synchronous approach by an expert multidisciplinary team.
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De la Plaza R, Arroyo JM, Vasconez LO (1984) Upper transverse rectus abdominis flap: the flag flap. Ann Plast Surg 12(5):410–8
Taylor GI, Daniel RK (1975) The anatomy of several free flap donor sites. Plast Reconstr Surg 56(3):243-253
Lejour M, De Mey A (1983) Anatomic bases and technic of rectus abdominis musculocutaneous flaps. Ann Chir Plast Esthet 28(2):151–158.
Beier JP, Croner RS, Lang W et al (2015) [Avoidance of complications in oncological surgery of the pelvic region: Combined oncosurgical and plastic reconstruction measures]. Chirurg 86(3):242–250
Jeon H, Yoon ES, You HJ et al (2014) Comparison of the complications in vertical rectus abdominis musculocutaneous flap with non-reconstructed cases after pelvic exenteration. Arch Plast Surg 41(6):722–727
Touny A, Othman H, Maamoon S et al (2014) Perineal reconstruction using pedicled vertical rectus abdominis myocutaneous flap (VRAM). J Surg Oncol 110(6):752–757
O’Dowd V, Burke JP, Condon E et al (2014) Vertical rectus abdominis myocutaneous flap and quality of life following abdominoperineal excision for rectal cancer: a multi-institutional study. Tech Coloproctol 18(10):901–906
Horch RE, Hohenberger W, Eweida A et al (2014) A hundred patients with vertical rectus abdominis myocutaneous (VRAM) flap for pelvic reconstruction after total pelvic exenteration. Int J Colorectal Dis 29(7):813–823
Howell AM, Jarral OA, Faiz O et al (2013) How should perineal wounds be closed following abdominoperineal resection in patients post radiotherapy–primary closure or flap repair? Best evidence topic (BET). Int J Surg 11(7):514–517
Barker T, Branagan G, Wright E et al (2013) Vertical rectus abdominis myocutaneous flap reconstruction of the perineal defect after abdominoperineal excision is associated with low morbidity. Colorectal Dis 15(9):1177–1183
Bognár G, Novák A, István G et al (2012) [Perineal soft-tissue reconstruction with vertical rectus abdominis myocutan (VRAM) flap following extended abdomino-perineal resection for cancer]. Magy Seb 65(5):388–395
Lefèvre JH, Corte H, Tiret E et al (2012). Abdominoperineal resection for squamous cell anal carcinoma: survival and risk factors for recurrence. Ann Surg Oncol 19(13):4186–4192
Peacock O, Pandya H, Sharp T et al (2012) Biological mesh reconstruction of perineal wounds following enhanced abdominoperineal excision of rectum (APER). Int J Colorectal Dis 27(4):475–482
Campbell CA, Butler CE (2011) Use of adjuvant techniques improves surgical outcomes of complex vertical rectus abdominis myocutaneous flap reconstructions of pelvic cancer defects. Plast Reconstr Surg 128(2):447–458
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Mori, S., Sassaroli, C., Di Monta, G., Romano, G.M. (2016). Transpelvic Rectus Abdominis Flap Reconstruction Following Abdominoperineal Resection. In: Romano, G.M. (eds) Multimodal Treatment of Recurrent Pelvic Colorectal Cancer. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5767-8_10
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DOI: https://doi.org/10.1007/978-88-470-5767-8_10
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