scholarly journals Biologic meshes in perineal reconstruction following extra-levator abdominoperineal excision (elAPE)

2012 ◽  
Vol 14 ◽  
pp. 12-18 ◽  
Author(s):  
M. J. Marshall ◽  
N. J. Smart ◽  
I. R. Daniels
Keyword(s):  
Abdominoperineal Excision ◽  
Perineal Reconstruction

Perineal Wound Closure Using Biological Mesh Following Extralevator Abdominoperineal Excision

2018 ◽  
Vol 36 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Naseer Baloch ◽  
Per J. Nilsson ◽  
Caroline Nordenvall ◽  
Mirna Abraham-Nordling
Keyword(s):  
Wound Closure ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Biological Mesh ◽  
Single Centre ◽  
Short Term ◽  
Perineal Reconstruction ◽  
Primary Rectal Cancer ◽  
Different Types ◽  
Electronic Hospital

Aims: This study aimed to describe the short-term perineal healing rates in patients with perineal reconstruction using a biological mesh following extralevator abdominoperineal excision (elAPE). Methods: In a retrospective, descriptive single-centre cohort study, 88 consecutive patients treated with elAPE and perineal closure using a biological mesh between January 2011 and December 2015 were reviewed. All available data from electronic hospital records was collected. Patients were followed for 1 year following surgery and perineal wound status assessed at 3 months and at 1 year. Results: In total, 63 patients were male and all but 8 patients were treated for primary rectal cancer. All patients but 3 had received radiotherapy prior to surgery. Multivisceral excisions were performed in 19 patients. Omentoplasty was performed in 55 patients and 3 different types of meshes were used during the study period. At 3 months, 58 patients (66%) had a healed perineum. No association was detected between patient, tumour or perioperative characteristics and perineal wound status at 3 months. At 1 year, 4 patients were deceased and among the remaining 84, the perineal wound was healed in 77 patients (92%). Conclusion: The use of biological meshes in perineal reconstruction following elAPE is feasible and safe, and the perineal wound is healed in the majority of the patients within 3 months.

Perineal reconstruction following anorectal excision

2021 ◽  
pp. 1247-1258
Author(s):  
Alexandra Crick
Keyword(s):  
Free Flaps ◽  
Abdominoperineal Excision ◽  
Vaginal Wall ◽  
Skin Defect ◽  
Salvage Procedure ◽  
Posterior Vaginal Wall ◽  
Perineal Reconstruction ◽  
Pedicled Flaps ◽  
Perineal Skin ◽  
History Of

Anorectal abdominoperineal excision, either as a primary procedure for rectal cancer or as a salvage procedure for residual or recurrent anal cancer following chemoradiotherapy, creates a defect of the pelvic floor, pelvic dead space, and a perineal skin defect and may include a defect of the posterior vaginal wall. The ideal reconstruction should address all components of this defect and aims to achieve primary uncomplicated healing while preserving and restoring function. Pedicled flaps from the abdomen, gluteal and thigh regions, and occasionally free flaps are available for this purpose. There is increasing evidence that flap reconstruction improves perineal healing especially where there is a history of radiotherapy.

Perineal reconstruction after abdominoperineal excision using inferior gluteal artery perforator flaps

2012 ◽  
Vol 99 (4) ◽  
pp. 584-588 ◽  
Author(s):  
A. Hainsworth ◽  
M. Al Akash ◽  
P. Roblin ◽  
P. Mohanna ◽  
D. Ross ◽  
...  
Keyword(s):  
Abdominoperineal Excision ◽  
Inferior Gluteal Artery ◽  
Perforator Flaps ◽  
Perineal Reconstruction ◽  
Artery Perforator

Immediate Perineal Reconstruction After Extralevatory Abdominoperineal Excision

2018 ◽  
Vol 80 (2) ◽  
pp. 154-158 ◽  
Author(s):  
Özay Özkaya ◽  
Ayça Ergan Şahin ◽  
İlker Üsçetin ◽  
Hakan Güven ◽  
Fazil Sağlam
Keyword(s):  
Abdominoperineal Excision ◽  
Perineal Reconstruction
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