Transpelvic Rectus Abdominis Flap Reconstruction Following Abdominoperineal Resection

Healing tissues by first intention after abdominoperineal resection (APR) for rectal cancer (RC) is difficult to achieve due to the large tissue deficit and the anatomical and functional complexity of the pelvic region. APR in RC removes a much tissue that connects the abdominal cavity with the exterior of the body, with the risk of severe complications. APR must therefore be well planned out in a synchronous approach by an expert multidisciplinary team.