Combination of omentoplasty, trans-abdominal biological mesh, and vacuum-assisted closure system for complex pelvic floor reconstruction. An alternative to current standards?

The article presents a case study of a 66-year-old man with perforated rectal cancer and Fournier's gangrene. He underwent abdominoperineal resection (APR) and immediate pelvic floor reconstruction (PFR) requiring the combination of different techniques including omentoplasty, transabdominal biological mesh application, and the vacuum-assisted closure (VAC) system. It suggests that the combination of these techniques may allow successful management of large perineal defects.