Successful Reconstruction of Recurrent Perineal Hernia After APR Using a Vertical Rectus Abdominis Myocutaneous Flap: A Salvage Option for a Refractory Case

Key Points

• Reconstruction successfully repaired recurrent perineal hernia after APR, highlighting its effectiveness.
• Durable surgical intervention using a vertical rectus abdominis myocutaneous flap was performed in this complex case.
• Assessment of the VRAM flap approach suggests its use when standard mesh repairs fail in similar patients.
• Potential implications include providing alternative options for patients facing recurring hernia challenges.