This book presents a comprehensive overview of all available surgical techniques for complex perineal reconstruction. Divided into 17 chapters and employing a multi-disciplinary approach, it provides valuable insights into the re- sectional aspects of this field, considerations in multiple organ removal (bladder, anus/colon, stomach), and the inclusion of radiology in preoperative planning for complex reconstructions, as well as anaesthetic aspects in perioperative patient care. Written by leading experts in the field, the respective chapters offer step-by-step descriptions of all available reconstructive options and detailed information on perineal and pelvic defects, together with valuable insights into surgical execution, indications, and common complications and pitfalls encountered when dealing with this challenging defect.

Given its breadth of coverage, the book provides a practical and comprehensive guide for Consultant Plastic and Reconstructive Surgeons, and for surgeons of allied specialties involved in re-sectional aspects of perineal and pelvic surgery.

Mr Damir Kosutic is internationally respected expert in Plastic and Reconstructive Surgery, with subspecialty interest in complex microvascular reconstruction following cancer resections or trauma for different body areas - particularly Breast Reconstruction, Lymphoedema Microsurgery, Sarcoma/Limb, Face and Perineal Reconstruction (first described PAP flap for Perineal Reconstruction). Mr Kosutic, Consultant Plastic and Reconstructive Surgeon, is one of the UK-leading lymphoedema, sarcoma and breast reconstructive surgeons, based at The Christie Hospital in Manchester, one of the largest tertiary European Cancer centres. He has completed microsurgical fellowships at Imperial College NHS Trust - Charing Cross Hospital London and Sant Pau Hospital, Barcelona (Microvascular Breast Reconstruction, Perforator flaps and Lymphoedema Surgery with prof. J. Masia), upon completion of comprehensive plastic surgery training in Maribor and Ljubljana, Slovenia, under the mentorship of famous Marko Godina's colleagues. Additional microsurgical training was undertaken in Vienna, Austria (with prof. H Millesi and prof O. Aszmann), Maxillofacial/Head and Neck Surgery in Zagreb, Croatia, MD Anderson Cancer Centre, Houston, USA and Taiwan (with prof. Ming-Huei Cheng). He has PhD and Master's Degree in Biomedical Sciences and has published over 50 scientific papers in top international peer-reviewed plastic surgery journals, which have been cited over 360x in scientific literature, including some of the key papers on planning of perforator flaps. He described a number of innovative techniques and concepts subsequently implemented in plastic surgical practice internationally, that improved the quality of reconstruction. He is frequently an invited speaker at top international conferences where he chairs panels on different topics (WSRM, EUROMICRO, EURAPS), courses and reputable institutions, lecturing on complex cancer reconstructive surgery, microsurgical breast and lymphoedema reconstruction and sarcoma reconstructions worldwide. Mr Kosutic is an active member of European Association of Plastic Surgeons (EURAPS), where he is also a member of Hans Anderl-Award Committee, active member of World Society for Reconstructive Microsurgery (WSRM), Fellow of European Board of Plastic and Reconstructive Surgery (EBOPRAS) and Royal College of Surgeons of England. In 2011, he was awarded EURAPS Young Plastic Surgeon Scholarship and HCA Travelling Scholarship. He was also Assistant Professor at the University of Maribor, School of Medicine, Slovenia, EU. In addition to teaching, Mr. Kosutic has been a faculty mentor for number of medical students, trainees and senior clinical/microsurgical fellows over the years, helping their careers both clinically and academically. He has been reviewer for several plastic surgery journals including JPRAS (Journal of Plastic, Reconstructive and Aesthetic Surgery/former British Journal of Plastic Surgery) over past 15 years. In his free time, he is passionate about martial arts (former European Karate Champion, black belt), classical music (violin playing), sailing and travel.