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Cost-effectiveness of the gluteal turnover flap for perineal wound closure after abdominoperineal resection: randomized clinical trial.

27 August 2026
Colorectal
BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
van den Berg R, Musters GD, Verhoef C, Blommestein HM, Tanis PJ.
BJS Open 2026; 10: zrag059-.
Some 165 patients were included, and the gluteal turnover flap closure yielded a mean cost reduction of €8 318 (95 per cent confidence interval €928 to €15 709), with lower outpatient, specialized wound, and home care costs at 12 months. No significant difference in quality of life was observed.
Comment: Comparison with other reconstructive techniques (e.g. muscle or omental flaps) is needed to define the relative cost-effectiveness of the gluteal turnover flap.
Comment by Jeongyoon (Jenny) Moon, MD
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