{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:56:59Z","timestamp":1762505819361},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T00:00:00Z","timestamp":1345593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Extra\u2010levator abdominoperineal excision (APE) of the rectum has been introduced with the aim of improving the oncological outcome of low rectal cancer. The procedure includes resection of the levator muscles <jats:italic>en bloc<\/jats:italic> with the mesorectum, leaving a larger perineal defect than after conventional APE. This study reports short\u2010term outcome of gluteus maximus myocutaneous flap reconstruction on perineal wound healing.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Sixty\u2010five patients were studied after extra\u2010levator APE and a one\u2010sided myocutaneous flap for a low or locally recurrent rectal cancer at the Karolinska University Hospital from January 2002 to December 2008. Fifty\u2010nine had received neoadjuvant radio\u2010 or radiochemotherapy. All perineal complications occurring within 30\u2003days after surgery were registered. In addition, the status of the perineal reconstruction at 6\u2003months and 1\u2003year after surgery was assessed based on medical records from outpatient visits.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Twenty\u2010seven (41.5%) patients had one or more perineal wound complications. A minor wound infection occurred in 15, while 12 had either a more severe infection with dehiscence or a pelvic abscess. The reconstruction was completely healed in 91% of the patients at 1\u2003year.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Although the vast majority of the perineal reconstructions were healed at 1\u2003year, the short\u2010term perineal wound complication rate of gluteus maximus flap reconstruction was high.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2011.02848.x","type":"journal-article","created":{"date-parts":[[2011,10,8]],"date-time":"2011-10-08T13:35:04Z","timestamp":1318080904000},"page":"1060-1064","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Short\u2010term outcome after gluteus maximus myocutaneous flap reconstruction of the pelvic floor following extra\u2010levator abdominoperineal excision of the rectum"],"prefix":"10.1111","volume":"14","author":[{"given":"C.","family":"Anderin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Martling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Lagergren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Ljung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Holm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,8,22]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.02.9231"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181cf7e27"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2004.08.002"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000167926.60908.15"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.5961"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.21.6.361"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5489"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0827-1"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02306372"},{"key":"e_1_2_7_11_2","first-page":"229","article-title":"The transpelvic rectus abdominis flap: its use in the reconstruction of extensive perineal defects","volume":"77","author":"Erdmann MW","year":"1995","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181fce26e"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02303561"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198801000-00012"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2008.11.039"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.116416"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10434-999-0033-4"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01743.x"},{"key":"e_1_2_7_19_2","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S0094-1298(20)31422-X","article-title":"Correction of high pelvic defects with the inferiorly based rectus abdominis myocutaneous flap","volume":"15","author":"McCraw J","year":"1988","journal-title":"Clin Plast Surg"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3182163c89"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2011.02848.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2011.02848.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T05:21:47Z","timestamp":1698729707000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2011.02848.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,22]]},"references-count":19,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1111\/j.1463-1318.2011.02848.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2011.02848.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,22]]},"assertion":[{"value":"2012-08-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}