Effectiveness and outcome of gracilis muscle flap reconstruction following perineal surgery: a retrospective single-center cohort study

Gracilis muscle flaps, complemented by ischiorectal adipose flaps, represent an effective strategy for perineal reconstruction post-APR, though the optimal timing warrants further investigation. Although these findings are limited by the small cohort size and retrospective design, minimizing preoperative NPWT cycles and avoiding excessive delays in reconstruction may improve clinical outcomes.

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Publication Details

Journal
Annals of Medicine and Surgery
Published
2026-01-21
DOI
https://doi.org/10.1097/ms9.0000000000004659
Primary Topic
Surgical site infection prevention
Type
article
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article

Effectiveness and outcome of gracilis muscle flap reconstruction following perineal surgery: a retrospective single-center cohort study

Adam Stepniewski, Alperen S. Bingoel, Marian Grade, Lorenz Biggemann et al.
Annals of Medicine and Surgery
Surgical site infection prevention
article

Effectiveness and outcome of gracilis muscle flap reconstruction following perineal surgery: a retrospective single-center cohort study

Adam Stepniewski, Alperen S. Bingoel, Marian Grade, Lorenz Biggemann, G. Felmerer, Michael Ghadimi, Laura W. Hansen, Philipp Schüler, Vira Miri, Linda Stahl
article en

Abstract

Gracilis muscle flaps, complemented by ischiorectal adipose flaps, represent an effective strategy for perineal reconstruction post-APR, though the optimal timing warrants further investigation. Although these findings are limited by the small cohort size and retrospective design, minimizing preoperative NPWT cycles and avoiding excessive delays in reconstruction may improve clinical outcomes.

Annals of Medicine and SurgeryVol. 88(2)
Medical University of Lublin (PL), Universitätsmedizin Göttingen (DE), University of Göttingen (DE)
Peace, Justice and strong institutions
Openalex Percentile: Top 82%
Surgical site infection prevention
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