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Indian J Plast Surg. 2012 May;45(2):352-63. doi: 10.4103/0970-0358.101318.

The management of perineal wounds.

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Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.


Management of perineal wounds can be very frustrating as these invariably get contaminated from the ano-genital tracts. Moreover, the apparent skin defect may be associated with a significant three dimensional dead space in the pelvic region. Such wounds are likely to become chronic and recalcitrant if appropriate wound management is not instituted in a timely manner. These wounds usually result after tumor excision, following trauma or as a result of infective pathologies like hideradenitis suppurativa or following thermal burns. Many options are available for management of perineal wounds and these have been discussed with illustrative case examples. A review of literature has been done for listing commonly instituted options for management of the wounds in perineum.


Muscle flaps; perforator flaps; perineum; reconstructive options; skin grafts; vacuum assisted

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