Lotus petal perforator flap for reconstruction of an extended chronic presacral defect after radiotherapy and rectal cancer resection

Abstract

Aim: As a result of their extent and complexity, pelvic wounds after surgery for anorectal malignancy often require a multidisciplinary approach to accomplish closure. This report describes a successful reconstruction using the lotus petal perforator flap.

Method: This flap is based on perforators of the internal pudendal artery and was partially depithelialized for plugging the defect.

Results: Wound healing was achieved after 12 days.

Conclusion: The lotus petal flap is a relatively simple and successful choice for reconstruction of an extended chronic presacral defect after radiotherapy and rectal cancer resection.

Keywords: Presacral; anorectal; defect; lotus petal; malignancy; reconstruction.