[Prevention and treatment of persistent perineal sinuses. Literature review and initial experience]

The objective of the work was to demonstrate possibilities of radical treatment of a perineal sinus, a very unpleasant complication after proctectomy. The authors prefer the use of a fasciocutaneous gluteofemoral flap based on the descendent branch of the inferior gluteal artery. The authors describe the whole surgical procedure and recommend to assemble experience with solution of decubital defects in the pelvic region.