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However, the extended resection performed in ELAPE creates an extensive three-dimensional soft tissue perineal defect within a previously irradiated field, increasing perineal wound complications to 40–60%. Various methods have been described in order to reduce perineal wound morbidity including primary closure, flaps and biological meshes but the ideal technique remains controversial, making perineal reconstruction post-ELAPE challenging for the plastic surgeon.

Abstract: Optimizing Outcomes in Hemipelvectomy Reconstruction with the Free Fillet of Leg Flap