Primary closure versus vertical rectus abdominis myocutaneous (VRAM) flap closure of perineal wound following abdominoperineal resection-a systematic review and meta-analysis.
Hugo C TemperlyPoorya ShokuhiNiall J O'SullivanBenjamin Mac CurtainCaitlin WatersAlannah MurrayChristina E BuckleyMaeve O'NeillBrian MehiganPaul H McCormickMichael E KellyJohn O LarkinPublished in: Irish journal of medical science (2024)
We highlight the advantage of VRAM flap closure over primary closure for perineal wounds following APR. However, tailoring operative strategy based on patient and disease factors remains important in optimising outcomes.