Gluteal transposition flap without donor site scar for closing a perineal defect after abdominoperineal resection - Takeaways - MDSpire

Gluteal transposition flap without donor site scar for closing a perineal defect after abdominoperineal resection

  • By

  • R. D. Blok

  • O. Lapid

  • W. A. Bemelman

  • P. J. Tanis

  • November 28, 2016

  • 0 min

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  • 1

    Abdominoperineal resection is linked to significant perineal wound complications, affecting up to 47% of patients.

  • 2

    The Luna flap, a gluteal perforator flap, effectively closes perineal defects without additional donor site scars.

  • 3

    Emergency surgery was performed on a patient with small bowel herniation through an unhealed perineal wound post-APR.

  • 4

    Pelvic floor reconstruction utilized a biological mesh, which was covered by the Luna flap to prevent complications.

  • 5

    The procedure resulted in a well-healed perineal wound at three weeks, allowing early mobilization and minimal operative time increase.

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