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Perineal wound infection, with subsequent healing delay, has multifactorial aetiology and its incidence can reach up to 66% according to literature. The prevention of these complications requires adequate surgical technique to avoid or minimise the known risk factors. The treatment of a perineal wound complication depends on the clinical and radiographic findings. When there is no wound resolution in 6 months, it is considered a persistent sinus and treatment will probably require a flap. Several options of surgical treatment are available however, there are no randomised studies to determine which one is the best.<\/jats:p>","DOI":"10.1136\/bcr-2018-228613","type":"journal-article","created":{"date-parts":[[2019,9,19]],"date-time":"2019-09-19T16:45:11Z","timestamp":1568911511000},"page":"e228613","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Perineal reconstruction using an inferior gluteal artery perforator flap after abdominoperineal resection"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2169-0859","authenticated-orcid":false,"given":"Miguel","family":"Nico Albano","sequence":"first","affiliation":[{"name":"Cirurgia E, Centro Hospitalar de Coimbra, Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1531-8209","authenticated-orcid":false,"given":"Jo\u00e3o Mendes","family":"Louro","sequence":"additional","affiliation":[{"name":"Cirurgia, Hospital N\u00e9lio Mendon\u00e7a, Funchal, Portugal"}]},{"given":"Iris","family":"Brito","sequence":"additional","affiliation":[{"name":"Cirurgia Pl\u00e1stica, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}]},{"given":"Sara","family":"Ramos","sequence":"additional","affiliation":[{"name":"Cirurgia Pl\u00e1stica, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2019,9,19]]},"reference":[{"key":"2025082723201362000_12.9.e228613.1","unstructured":"MacKeigan JM , Cataldo PA , Hicks TC , et al . 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Best evidence topic (BET)","volume":"11","author":"Howell","year":"2013","journal-title":"Int J Surg"},{"key":"2025082723201362000_12.9.e228613.9","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jamcollsurg.2018.04.023","article-title":"Perineal Closure after Abdominoperineal Resection Using a Pedicled Deep Inferior Epigastric Perforator Flap: A Safe Alternative to Rectus Abdominis Myocutaneous Flap","volume":"227","author":"Lakkis","year":"2018","journal-title":"J Am Coll Surg"},{"key":"2025082723201362000_12.9.e228613.10","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1002\/bjs.7822","article-title":"Perineal reconstruction after abdominoperineal excision using inferior gluteal artery perforator flaps","volume":"99","author":"Hainsworth","year":"2012","journal-title":"Br J Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:20:22Z","timestamp":1756362022000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228613"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":10,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,19]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2018-228613"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228613","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}