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Clin Colon Rectal Surg 2022; 35(03): 212-220
DOI: 10.1055/s-0042-1742414
Review Article

Management of Perineal Wounds Following Pelvic Surgery

George A. Mori
1   John Goligher Colorectal Unit, St James's University Hospital, Leeds, United Kingdom
,
Jim P. Tiernan
1   John Goligher Colorectal Unit, St James's University Hospital, Leeds, United Kingdom
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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

perineal wound - abdominoperineal tesection - exenteration - vertical rectus abdominis myocutaneous - IGAP - gluteal flap


Publication History

Article published online:
07 March 2022

© 2022. Thieme. All rights reserved.

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