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Pelvic abscess following preoperative radiation and abdominoperineal resection: Management with a free flap

✍ Scribed by William G. Kraybill; John Reinsch; Charles L. Puckett; Eugene M. Bricker


Book ID
102925154
Publisher
John Wiley and Sons
Year
1984
Tongue
English
Weight
681 KB
Volume
25
Category
Article
ISSN
0022-4790

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✦ Synopsis


The case of a woman treated for a large rectal cancer with high-dose radiation therapy and abdominoperineal resection followed by a large pelvic abscess is presented. Wound healing, reconstruction, and rehabilitation were achieved with a free latissimus dorsi myocutaneous flap. The importance of providing well-vascularized tissue for wound healing in the infected irradiated wound is emphasized.


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Extended abdominoperineal resection with
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## Abstract ## Background Intraoperative tumour perforation, positive tumour margins, wound complications and local recurrence are frequent difficulties with conventional abdominoperineal resection (APR) for rectal cancer. An alternative technique is the extended posterior perineal approach with g