Bilateral gluteal fasciocutaneous flap for perineal reconstruction following abdominoperineal resection

Local flap reconstruction of the perineum and anal canal is an excellent method of managing large perineal defects. Benefits of V-Y flaps compared with other methods such as vertical rectus abdominis myocutaneous include reduced donor-site morbidity and increased ease of harvest and inset. This is a case report of bilateral gluteal V-Y fasciocutaneous reconstruction of perineal defect, in a post-irradiated anorectal carcinoma patient, with excellent outcome.