• Partial myocutaneous gluteal flap for perineal reconstruction of extralevator abdominoperineal defects. A single surgeon series of 49 cases in eight years, and a modification of the technique

    1 month ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    Introduction: Extralevator abdominoperineal excision for low rectal tumours necessitates a reliable method of reconstructing the perineum. The senior author developed the partial myocutaneous gluteal flap. We present 49 consecutive reconstructions with refinement of the original procedure.Methods: We conducted a retrospective observational review of patients undergoing ELAPE and PMG reconstruction from 2012 to 2019, with at least 1 year follow-up. The procedure was modified iteratively following our original series, to minimise perineal herniation, specifically by greater mobilisation of...
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