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: IGAP; abdominoperineal tesection; exenteration; gluteal flap; perineal wound; vertical rectus abdominis myocutaneous.
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