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.