Taylor Flap (oblique Rectus Abdominus Flap) for Perineal Reconstruction after Abdominoperineal Resection. Short and Long Terms Morbidity. A Single Center Series of 140 Patients.

Background: Abdominoperineal resection (APR ) leads to a substantial loss of tissue and a high rate of complications. The Taylor flap is a musculocutaneous flap used in re - construction after APR. Objectives: We aimed to analyze the short and long -term morbidity of reconstruction with a Taylor flap ( oblique rectus abdominis flap ) after APR and to identify the risk factors for postoperative complications. Methods: We retrospectively included all patients who had undergone APR with immediate reconstruction with a Taylor flap in our department between July 2000 and June 2018. Demographics, oncological data, treatment, and short - and long -term morbidity were re - viewed. Results: Among the 140 patients included, we identified early minor complications in 42 pa - tients (30% ) and 14 early major complications (10% ). Total necrosis of the flap requiring its removal occurred in four patients (2.8% ). Eleven patients (7.9% ) presented with a midline in - cision hernia, and seven (5% ) presented with a subcostal incision hernia. No perineal hernia was found. No risk factors for the complications were identified.