The unhealed perineal wound is a complication that is disabling for the patient, causing a significant amount of morbidity and anxiety, and is difficult and

Omentoplasty Perineum
Fig. 5. Omentoplasty. The right portion of the great omentum is transposed in the sacral cavity after APR (left). View of the perineum after omentoplasty is completed and before skin suturing (right)

challenging for the colorectal surgeon. Fortunately, in the last few decades treatment options have progressed from repeated unreliable procedures to successful one-stage closure, considering modern principles of wound management.

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