Optimal postoperative management of perineal flaps in oncologic patients undergoing extralevator abdominoperineal excision: An introduction of a postoperative monitoring and flap management protocol
| Autor: | Alexandra Khoury, Simon P. Mackey, Simon Bailey |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Proctectomy Rectal Neoplasms business.industry General Medicine 030230 surgery Perineum Surgical Flaps Surgery Postoperative management 03 medical and health sciences Defect closure 0302 clinical medicine 030220 oncology & carcinogenesis Abdomen medicine Humans Postoperative monitoring business |
| Zdroj: | Journal of Perioperative Practice. 32:10-14 |
| ISSN: | 2515-7949 1750-4589 |
| DOI: | 10.1177/1750458920959565 |
| Popis: | There is extensive discussion regarding method of perineal defect closure extralevator abdominoperineal excision, but little consideration of optimal postoperative management of the flaps, or use of Enhanced Recovery After Surgery in flap reconstruction. Literature review revealed little discussion of optimum postoperative care of perineal flaps following extralevator abdominoperineal excision. We have developed a protocol for postoperative care of perineal flaps for use in conjunction with colorectal Enhanced Recovery After Surgery pathways, easily followed in units not specialising in plastic surgery. The protocol was developed using translatable evidence from guidelines for flap care from other subspecialties, as well as the experience of management of post-extralevator abdominoperineal excision perineal flaps in our trust, with the aim of enabling early detection of deterioration in this complex cohort, with a multidisciplinary enhanced recovery approach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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