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Reconstruction of an abdominoperineal defect using a gluteal turnover flap. a marking of the flap, b de-epithelialisation of the dermis, c flap after having transected onto the gluteal fascia, d rotation of the flap, e fixation of flap to the contra-lateral remnants of pelvic floor muscles, f midline scar following layered closure of the ischiorectal and perineal tissues over the flap
