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APR Wound Closure in Irradiated Tissue: The VRAM flap

JH

Jason Hostetter

Transcript

Perineal wound healing following XRT/CT and APR: the VRAM flap

Abdominoperineal Resection (APR)

  • APR is the treatment of choice in low rectal and anal cancers after failure of XRT or combined XRT/CT
  • Up to 40% of anorectal cancer patients fail XRT or XRT/CT
  • The procedure includes full resection of the distal rectum and anus with wide perineal excision

Perineal Wound Closure

Common Perineal Wound Complications

  • Primary closure
  • Perineal reconstruction with VRAM flap
  • Abscess
  • Dehiscence
  • Delayed wound healing
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