Figure 3.

Gracilis myocutaneous flap reconstruction of the perineum and posterior wall of the vagina in a woman with locally advanced rectal cancer that invaded into the vagina. The patient received neoadjuvant chemoradiation therapy. (A) Pictures show preoperative markings. (B) Intraoperative perineal and vaginal defect. (C) Immediate postoperative flap reconstruction. (D) 3-month follow-up. Photographs courtesy of Susan M. Pike, M.D., Plastic and Reconstructive Surgery, Scott & White University Medical Campus, Round Rock, TX.