Human acellular dermal matrix for pelvic floor reconstruction after cylindrical abdominoperineal resection.

An alternative treatment for low rectal cancer is the extended posterior perineal approach with reconstruction of the pelvic floor (cylindrical technique). Pelvic floor defects often require flap reconstruction using gracilis flaps, vertical rectus abdominis myocutaneous flaps or local fasciocutaneous flap. In this article, the complicated pelvic floor defect was reconstructed with human acellular dermal matrix. Despite a large resection and previous irradiation therapy, the wound healed without complications.