Abstract
Surgical procedures performed on tissues which have been radiated present great challenges because of problems such as poor wound healing, infection, exposure of important structures and potient's general exhaustion. The general principles of surgical therapy are to remove damaged tissue to the level of good minute blood supply, and to provide suitable coverage.
The myocutaneous flap supported by a single muscle and neurovascular pedicle is an axial pattern flap and thought to be one of the best coverages of the defect.
We present a case in which gracilis myocutaneous flaps were used in the repair of a perineal radiation ulcer.
