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
