Journal of Medical Insight 2373-6003 JoMI Boston, Massachusetts 472 10.24296/jomi/472 Research article 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 2025 2025 06 2017 Journal of Medical Insight 2017 You may create an account, or sign in to gain temporary access for evaluation purposes. To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian. Content is available at https://jomi.com/article/472/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

This video provides a step-by-step, detailed demonstration of this extensive surgical procedure performed on a 53-year-old female patient with recurrent anal cancer after initial chemoradiotherapy. The surgical technique is thoroughly illustrated, emphasizing the importance of proper anatomical planes, multidisciplinary coordination, and reconstructive considerations.

 SCORE Midline Incision Anatomy Outline Ureteral Catheter Linear Stapler Surgical Debrief Female Adult Advanced Open APR abdominoperineal resection anal cancer recurrent cancer recurrent cancer recurrent anal cancer en bloc total abdominal hysterectomy TAH BSO bilateral salpingo-oophrectomy total vaginectomy vaginectomy vagina colostomy permanent colostomy pelvic floor reconstruction rectus abdominis rectus abdominis flap Drain Placement