Management of perineal wounds following abdominoperineal resection with inferior gluteal flaps
W. L. Baird, T. R. Hester, F. Nahai and J. Bostwick 3rd
Department of Plastic, Reconstructive, and Maxillofacial Surgery, Emory University School of Medicine, Atlanta, Ga.
Our experience treating perineal wounds secondary to abdominoperineal
resection, either for inflammatory bowel disease or cancer, is presented. A
total of 16 patients were treated either on a delayed basis or at the same
time as the abdominoperineal resection. All wounds were closed using the
inferior gluteal myocutaneous flap. Fifteen of 16 patients have achieved
healing, eight of whom had no complications. Only minor revisions or local
wound care were required in the remaining patients, with only one patient
failing to heal. Our results compare favorably with previous reports of
treatment of this difficult problem.
