• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
    • Why Should You Support SAGES?
    • SAGES Swag
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Annual Meeting
      • 2027 Scientific Session Call for Abstracts
      • 2027 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • SAGES Lead Up Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • Innovative Surgical Trends
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Advanced Laparoscopy and Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
    • Foregut Video Atlas
  • Opportunities
    • Join the SAGES Patient Partner Network (PPN)
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs
  • Learning Hub
You are here: Home / Videos / APR technique & perineal wounds

APR technique & perineal wounds

 

This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by George J Chang during the Postgraduate Course: Total Mesorectal Excision – Optimizing Surgery and Managing Challenges on April 11 2018


Keyword(s): abdominal wall laxity, abdominal wall morbidity, abdominoperineal resection, anal verge, APR, autonomic nerves, C-arm, circumferential resection margin, COLOR II trial, complications, CRM, D3 lymphadenectomy, dissection, distal rectal cancer, donor site, donor sites, drainage, edema, gluteal advancement, healing, imaging, intersphincteric resection, ISR, laparoscopic colorectal surgery, LAR, lesser sac, levator, levator ani, ligation, local recurrence, low anterior resection, low ligation, managment, margin positivity, mesorectum, minimally invasive surgery, MIS, mobilization, MRI, multidisciplinary, omentoplasty, open colorectal surgery, outcomes, parasympathetic nerves, pedicle flap, pelvic floor, pelvic inlet, pelvis, perineal herniation, perineal wounds, perineum, periosteum, plastic surgeon, prevention, primary closure, radial margins, randomized trials, reconstruction, rectal perforation, rectum, rectus flap, robotic approach, sacrococcygeal, sacrum, SBO, short gastrics, skin defect, small bowel obstruction, specimen, sphincter preservation, survival, technique, TME, total mesorectal excision, tumor, vacuum, vaginal reconstruction, vertical rectus abdominis myocutaneous, VRAM flap, wide resection, wound complications

APR–43 sec

Citation–1:59 Eur J Cancer 2009

Br J Surg 2007

Principles of pelvic/perineal wound management–11:09

Choosing the perineal reconstruction strategy–11:47

Strategies for perineal wound management–12:25 Colorectal Dis 2013

DCR 2014

JACS 2008

Omental flap creation video clip–13:42

VRAM flap–14:51

Conclusion–16:07

Share this:

  • Share on X (Opens in new window) X
  • Share on Facebook (Opens in new window) Facebook
  • Share on LinkedIn (Opens in new window) LinkedIn
  • Share on Pinterest (Opens in new window) Pinterest
  • Share on WhatsApp (Opens in new window) WhatsApp
  • Share on Reddit (Opens in new window) Reddit
  • Share on Mastodon (Opens in new window) Mastodon
  • Share on Threads (Opens in new window) Threads
  • Share on Bluesky (Opens in new window) Bluesky
  • Print (Opens in new window) Print

Related

Video Uploaded By:
SAGES Webmaster
Uploaded on
09/18/2018
Learning Themes
Colorectal
Sources
2018 Annual Meeting
Video Authors
Chang G
Video Institutions
University of Texas--Houston TX


Hours & Info

15821 Ventura Blvd Ste 400
Encino, CA 91436

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2026 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

Refine Search