Transpelvic rectus abdominis flap reconstruction of defects following abdominal-perineal resection.

Journal Article (Journal Article)

Abdominal-perineal resection for advanced rectal carcinoma may leave a large defect for which complete secondary healing can be slow. In such cases, the inferiorly based rectus abdominis myocutaneous flap, passed through the pelvis into the perineum, can provide a large amount of well-vascularized tissue that may be placed in the defect to facilitate primary healing and allow a quicker recovery. Additional advantages include displacement of the bowel out of the pelvis to facilitate postoperative radiotherapy, and the ability to reconstruct vaginal wall defects. We report a series of seven patients for whom the transpelvic rectus abdominis myocutaneous flap was used to cover perineal defects following abdominal-perineal resection. Although one flap failed, all patients healed rapidly and the only lasting complication was a possibly related small upper-abdominal hernia found one year after surgery.

Full Text

Duke Authors

Cited Authors

  • Kroll, SS; Pollock, R; Jessup, JM; Ota, D

Published Date

  • October 1989

Published In

Volume / Issue

  • 55 / 10

Start / End Page

  • 632 - 637

PubMed ID

  • 2529805

International Standard Serial Number (ISSN)

  • 0003-1348


  • eng

Conference Location

  • United States