{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:10:01Z","timestamp":1745748601497,"version":"3.40.4"},"reference-count":2,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,2,3]]},"abstract":"<jats:p>The enhanced recovery programme, pioneered in the colorectal surgical setting, aims to reduce the length of inpatient stay following a procedure and was started in our trust in 2006. We present the case of a patient who underwent perineal reconstruction with a pedicled vertical rectus abdominis myocutaneous (VRAM) who subsequently developed bladder outflow obstruction compromising flap viability. As a result of our experience we are in the process of producing new guidelines that advocate patients undergoing a VRAM flap for perineal reconstruction should be exempt from aspects of the enhanced recovery programme, in particular early removal of the catheter should be avoided.<\/jats:p>","DOI":"10.1136\/bcr-2013-200332","type":"journal-article","created":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T10:27:56Z","timestamp":1392978476000},"page":"bcr2013200332","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Complications of the \u2018Enhanced Recovery after Surgery Programme\u2019 following pedicled vertical rectus abdominis myocutaneous flap in perineum reconstruction"],"prefix":"10.1136","volume":"2014","author":[{"given":"Sameena","family":"Hassan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu Sin","family":"Lau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme","family":"Perks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Raurell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,21]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042702422639000_2014.feb21_1.bcr2013200332.1","DOI":"10.1016\/0007-1226(77)90118-7"},{"doi-asserted-by":"publisher","key":"2025042702422639000_2014.feb21_1.bcr2013200332.2","DOI":"10.1007\/s00423-011-0823-6"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:42:31Z","timestamp":1745746951000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,21]]},"references-count":2,"alternative-id":["10.1136\/bcr-2013-200332"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200332","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,2,21]]}}}