PMC6514360_01
On the day of surgery: (A) appearance after radiation therapy and before resection and (B) appearance after tumor resection.
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Extralevator abdominoperineal excision (ELAPE) was performed by the coloproctology team (Fig. 1).
Appearance (A) immediately after pelvic floor reconstruction with a vertical rectus abdominis myocutaneous (VRAM) flap and (B) 5 months after surgery.
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Pelvic floor reconstruction with a vertical rectus abdominis myocutaneous (VRAM) flap was then performed by the plastic surgery team (Fig. 2).