Perineal Reconstruction Study Day

Friday 21 November 2025 - hybrid event

This study day will provide an overview of surgical techniques for complex perineal reconstruction. It will employ a multi-disciplinary approach, providing 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.

Listen to leading national and international experts from both plastic surgery, colorectal, urology and gynaecological surgery fields. Some presenters have specialties involved in treatment of patients with perineal malignancies.

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 these challenging defects will be highlighted.

Intended audience

Consultant plastic and reconstructive surgeons, consultant colorectal and general surgeons, consultant gynaecological oncological surgeons, consultant urologists, oncologists and surgical and non-surgical trainees with an interest to learn about this challenging field.

Bronze sponsors

The logo for PolyNovo, with the tagline 'Healing. Redefined.'

Perineal reconstruction study day - Friday 21 November 2025

Time Talk
09:00 Welcome and introduction,
Mr Damir Kosutic, Consultant Plastic and Reconstructive Surgeon, The Christie NHS Foundation Trust
09:05 Surgical anatomy and pathology of perineal area
09:25 Perineal defects - Colorectal surgeon’s perspective
Prof Omer Aziz, Consultant Colorectal Surgeon, The Christie NHS Foundation Trust
09:45 Perineal reconstruction in gynecological oncology: Indications and insights
10:05 Urological aspects of perineal surgery and reconstruction 

10:25 - break

Time Talk
10:40 Radiotherapy of perineal and pelvic malignancies
11:00 Versatility in perineal recontruction and classification of perineal defects
Mr Damir Kosutic, Consultant Plastic and Reconstructive Surgeon, The Christie NHS Foundation Trust
11:20 Preoperative and intraoperative anaesthetic considerations in perineal urgery
12:00 Lotus-petal and v-y advancement flaps 
12:20 Pap flap
12:40 Atl flap

13:00 - lunch

Time Talk
13:30 Abdominal flaps
13:50 Pudendal artery perforator flap and other options in perineal-pelvic reconstruction 
14:10 Omental flap
Chellian Selvasekar, Speciality Doctor in Plastic Surgery, The Christie NHS Foundation Trust
14:30 Use of lasers in perineum
Dr Kantappa Gajana, Speciality Doctor in Plastic Surgery, The Christie NHS Foundation Trust
14:50 Complications in perineal reconstruction
Dr Annamaia Minicozzi, General and Colorectal Surgeon, Princess Grace Hospital HCA

15:10 - break

Time Talk
15:30 Surgical management of lower limb lymphoedema after pelvic/perineal resections
Mr Damir Kosutic, Consultant Plastic and Reconstructive Surgeon, The Christie NHS Foundation Trust
15:50 Question and answer session

16:10 - end of day

Last updated: November 2025