Abstract
Perineal defects are created for a wide range of indications in colorectal surgery, and their size, shape, and depth and the tissues they involve require significant tailoring to the patient. Relatively smaller perineal wounds involving only skin and subcutaneous incisions without surgery to remove the anal canal, low rectum, and pelvic floor are used to treat conditions such as anal intraepithelial neoplasia (AIN), very early squamous cell carcinomas of the skin, anal warts, and benign conditions such as chronic anal fissures. In such cases, a local advancement flap (such as a V-Y) may be used. The focus of this chapter, however, is the larger perineal wounds such as those created in abdominoperineal resections that involve the removal of the anus, anal canal, and rectum, with variable amounts of adjacent pelvic floor muscles, subcutaneous fat, and skin depending on the indication for surgery (tumor type and size).
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Aziz, O. (2023). Perineal Defects: A Colorectal Surgeon’s Perspective. In: Kosutic, D. (eds) Perineal Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-97691-0_2
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DOI: https://doi.org/10.1007/978-3-030-97691-0_2
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