Internal Pudendal Artery Perforator Flap for Reconstruction of Perineal Complex Wound after Trauma – Case Report

Abstract

Perineal reconstruction is a widely discussed topic in medical literature due to the major difficulties found in tumor resection in the perineal region, such as vulvovaginal and anorectal neoplasms. Although the post-traumatic perineal reconstruction is less explored, this case highlights the complexity and high mortality rates associated with perineal wounds, frequently linked to other traumas. As the pelvis represents a considerable challenge in reconstructive surgery, the approach can vary from skin grafts to major flaps depending on the extension of the wound. This case report emphasizes the importance of choosing an adequate surgical technique to guarantee the proper coverage of the defect in the affected area.

Keywords

case reports - perineum - perforator flap - surgical flaps - wounds and injuries

Authors' Contribution

Juliana Hernandes Seribeli: data analysis, interpretation, or both, final manuscript approval, data collection, conceptualization, study conception and design, project management, investigation, methodology, performance of surgeries, experiments, or both, writing - original draft preparation, writing - review & editing, visualization; Gabriel Garcia Schmitt: data analysis, interpretation, or both, final manuscript approval, data collection, conceptualization, study conception and design, project management, investigation, methodology, writing – original draft preparation, writing - review & editing, visualization; Jayme Adriano Farina Junior: data analysis, interpretation, or both, final manuscript approval, funding acquisition, conceptualization, study conception and design, resource management, project management, investigation, methodology, performance of surgeries, experiments, or both, writing - original draft preparation, writing - review & editing, supervision, validation, visualization; Pedro Soler Coltro: data analysis, interpretation, or both, final manuscript approval, funding acquisition, conceptualization, study conception and design, resource management, project management, investigation, methodology, performance of surgeries, experiments, or both, writing - original draft preparation, writing - review & editing, supervision, validation, visualization.

Publication History

Received: 12 November 2024

Accepted: 24 March 2025

Article published online:
10 July 2025

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