Breakdown/Non-healing of Perineal Wound

  • Justin M. Broyles
  • Jonathan E. Efron
  • Justin M. Sacks
Chapter

Abstract

The perineum is one of the more difficult sites in the human body to reconstruct due to the significant volume of dead space, proximity of multiple organs, high bacterial counts, and the subjection to direct pressure of the wound bed. Primary closure of large perineal defects, especially in the setting of previous radiation, is associated with unacceptable wound-healing complications ranging as high as 65 %. In the current chapter, we aim to provide a comprehensive overview of the various reconstructive options for perineal defects to elucidate approaches and techniques on how to prevent as well as treat perineal wounds in an effort to maximize patient outcomes.

Keywords

Perineal wound closure Perineal wound APR closure Non-healing perineal wound Breakdown of perineal wound Flap closure 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Justin M. Broyles
    • 1
  • Jonathan E. Efron
    • 2
  • Justin M. Sacks
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryThe Johns Hopkins Hospital Outpatient CenterBaltimoreUSA
  2. 2.Department of General SurgeryThe Johns Hopkins HospitalBaltimoreUSA

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