Defects of the pelvis and perineum arise from tumors, trauma, infection, congenital differences, and gender incongruence. Pelvic resections can result in bony instability and soft-tissue deficiency. The goals of reconstruction are maintenance of spinopelvic continuity, elimination of dead space, resurfacing of cutaneous defects, and prevention of hernias. Perineal reconstruction has important functional considerations. Abdominoperineal resection and pelvic exenteration defects benefit from flap reconstruction to decrease pelvic wound complications. 
Vulvovaginal reconstruction is performed with flaps from the perineum, thigh, or abdomen. Scrotal and superficial penile defects are most commonly reconstructed with scrotal flaps and skin grafts. Total penile reconstruction most commonly uses a radial forearm free flap.

 
The Accreditation Council for Continuing Medical Education (ACCME) accredits ASPS to provide educational activities and material with Category 1 CME credits. As an official CME provider, ASPS must comply with all ACCME standards, as outlined in the ACCME Standards for Integrity and Independence in Accredited Continuing Education.

Plastic and Reconstruction Surgery®Editors:
Editor-in-Chief: Kevin Chung, MD
Co-Editor: Amy Colwell, MD
Section Editors: John Y.S. Kim, MD

Intended Audience
This educational activity is intended for all CME-related persons including plastic surgery practitioners, residents, and other healthcare professionals.

Learning Objectives
After viewing this course, the participant should be able to:

1. Classify types of bony pelvic resections.
2. Outline reconstructive options for pelvic and perineal defects.
3. Identify advantages and drawbacks of various reconstructive techniques.
4. Recognize the functional benefits of bony and soft-tissue reconstruction.

Accreditation
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation
The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Recognition Statement
The Continuing Medical Education (CME) credits offered by this activity are enhanced by ASPS Learner Credit Reporting for learners who have opted into this reporting. Successful completion of this CME activity enables active American Board of Surgery (ABS) members the opportunity to earn credit toward the CME requirement of the ABS's Continuous Certification program when claimed within 30 days of completion of the activity.

Participants in ASPS-accredited education who want their CME credits reported to certifying and state licensing boards must opt-in to reporting and add their NPI as well as state license ID and/or collaborating board ID(s) before claiming credit.

AMA PRA Category 1 Credit^TM: 1.0
Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 10/01/2024
Expiration Date: 10/01/2027*
Estimated time to complete this course: 1 hour

*Course access ends on course expiration date

Directly provided by the American Society of Plastic Surgeons® (ASPS®)

The following planners/faculty members/reviewers have no relevant financial relationships or affiliations to disclose:
Farooq Shahzad, MBBS; Edward Ray, MD