This book presents a comprehensive overview of all available surgical techniques for complex perineal reconstruction. Divided into 17 chapters and employing a multi-disciplinary approach, it provides valuable insights into the re- sectional aspects of this field, considerations in multiple organ removal (bladder, anus/colon, stomach), and the inclusion of radiology in preoperative planning for complex reconstructions, as well as anaesthetic aspects in perioperative patient care. Written by leading experts in the field, the respective chapters offer step-by-step descriptions of all available reconstructive options and detailed information on perineal and pelvic defects, together with valuable insights into surgical execution, indications, and common complications and pitfalls encountered when dealing with this challenging defect.

Given its breadth of coverage, the book provides a practical and comprehensive guide for Consultant Plastic and Reconstructive Surgeons, and for surgeons of allied specialties involved in re-sectional aspects of perineal and pelvic surgery.

Preface

2. surgical anatomy and pathology of perineal area
3. perineal defects-colorectal surgeon's perspective
4. Perineal defects-gynecological oncology perspective
5. Perineal defects-urological oncology perspective
6. Classification of perineal defects
7. Preoperative and intraoperative considerations
8. Advanced imaging for planning of perineal reconstruction
9. Lotus-petal and v-y advancement flaps
10. Gracilis flap
11. Igap flap
12. Pap flap
13. Alt flap
14. Abdominal flaps
15. Pudendal artery perforator flap
16. complications in perineal reconstruction
17. New frontiers in perineal reconstruction.