Gracilis myocutaneous flap as a life-saving procedure in control of necrosis following radiotherapy and radical surgery for pelvic malignancy

Gracilis myocutaneous flap has been used extensively in gynecologic oncology patients for sexual rehabilitation. This paper presents a case history of a patient with life-threatening malnutrition secondary to multiple fistulae status post total pelvic exenteration. After all other attempts at rehabilitation failed, gracilis myocutaneous flaps were placed in the pelvic defect to obtain healthy tissue and new blood supply and indeed the patient was successfully rehabilitated after a prolonged and progressive postoperative course of pelvic necrosis and infection.