International Journal of Colorectal Disease

, Volume 31, Issue 8, pp 1525–1527 | Cite as

Myocutaneous transpelvic flaps do improve quality of life and help to reduce wound healing complications in patients receiving abdominoperineal resection in the real world

  • Raymund E. Horch
  • Werner Hohenberger
  • Klaus Weber
  • Andreas Arkudas
  • Justus P. Beier
Letter to the Editor

Dear Editor:

With great interest, we read the article of T Curran et al. on “Real world dehiscence rates for patients undergoing abdominoperineal resection with or without myocutaneous flap closure in the national surgical quality improvement project” in the International Journal of Colorectal Disease. The authors need to be congratulated for bringing up an issue in treating rectal carcinomas that has been subject to controversial discussion.

They claim that this would be the first paper with a high number of patients including a significant number of them receiving some sort of “flap” during the surgical procedure of abdominoperineal resection (APR) in the “real world”.

However, some aspects need to be discussed as the data presented here need some more interpretation to serve as a universal guide to choose the best surgical approach in APR. Although utilizing a national data registry offers a large patient cohort, it also suffers from the naturally considerable inconsistency of the...


Abdominoperineal Resection Wound Dehiscence Perineal Wound Anal Carcinoma Wound Healing Complication 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Hanisch E et al (2016) The validity of routine data on quality assurance: a qualitative systematic review. Chirurg 87(1):56–61CrossRefPubMedGoogle Scholar
  2. 2.
    Beier JP et al (2015) Avoidance of complications in oncological surgery of the pelvic region: combined oncosurgical and plastic reconstruction measures. Chirurg 86(3):242–250CrossRefPubMedGoogle Scholar
  3. 3.
    Horch RE et al (2014) A hundred patients with vertical rectus abdominis myocutaneous (VRAM) flap for pelvic reconstruction after total pelvic exenteration. Int J Colorectal Dis 29(7):813–823CrossRefPubMedGoogle Scholar
  4. 4.
    Butler CE, Gundeslioglu AO, Rodriguez-Bigas MA (2008) Outcomes of immediate vertical rectus abdominis myocutaneous flap reconstruction for irradiated abdominoperineal resection defects. J Am Coll Surg 206(4):694–703CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Plastic and Hand SurgeryFriedrich Alexander University Erlangen Nuernberg FAUErlangenGermany
  2. 2.Department of General and Visceral Surgery, University Hospital ErlangenFriedrich Alexander University Erlangen Nuernberg FAUErlangenGermany

Personalised recommendations