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Video preload image for Extralevator Abdominoperineal Resection (APR) for Recurrent Anal Cancer With an En Bloc Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy and Total Vaginectomy With Permanent Colostomy Formation and Pelvic Floor Reconstruction Using a Right Rectus Abdominis Flap
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  • Title
  • 1. Introduction
  • 2. Cystoscopy and Placement of Bilateral Ureteral Stents and Foley Catheter
  • 3. Incision and Access to the Abdomen
  • 4. Lateral Dissection of Left (Descending) Colon
  • 5. Medial Left/Sigmoid Colon Mobilization
  • 6. Pelvic Extralevator Total Mesorectal Dissection
  • 7. Perineal Extralevator Dissection Posteriorly
  • 8. Total Abdominal Hysterectomy and Bilateral Salpingo-oophorectomy with Total Vaginectomy for Resection of En Bloc Specimen
  • 9. Specimen Examination, Hemostasis, and Irrigation
  • 10. Right Rectus Abdominis Muscle Flap Harvesting
  • 11. Drain Placement in Left Lower Quadrant (LLQ)
  • 12. Creation of Colostomy in LLQ, Pelvic Floor Reconstruction with Right Rectus Abdominis Flap, and Abdominal Wall Closure
  • 13. Colostomy Maturation

Extralevator Abdominoperineal Resection (APR) for Recurrent Anal Cancer With an En Bloc Total Abdominal Hysterectomy and Bilateral Salpingo-Oophorectomy and Total Vaginectomy With Permanent Colostomy Formation and Pelvic Floor Reconstruction Using a Right Rectus Abdominis Flap

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Cleveland Clinic Florida

Article Information

Publication Date
Article ID472
Production ID0472
Volume2025
Issue472
DOI
https://doi.org/10.24296/jomi/472