Wall defects after abdominoperineal resection: A modified tension-free technique
| Autor: | Alberto, Vannelli, Luigi, Battaglia, Mario, Rampa, Paolo, Boati, Antonella, Putortì, Daniela, Pelleriti, Fabienne, Fedele, Ermanno, Leo |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Cancer Research Rectal Neoplasms General Medicine Middle Aged Surgical Mesh Hernia Ventral Surgical Flaps 030218 nuclear medicine & medical imaging Necrosis 03 medical and health sciences Treatment Outcome 0302 clinical medicine Oncology Recurrence Surgical Procedures Operative 030220 oncology & carcinogenesis Colostomy Humans Female Abdominal Muscles |
| Zdroj: | Tumori Journal. 97:323-327 |
| ISSN: | 2038-2529 0300-8916 |
| DOI: | 10.1177/030089161109700311 |
| Popis: | Background The treatment of wall defects after abdominoperineal resection has yet to be defined. In this study we report the outcome of a modified prosthetic technique for the treatment of combined large incisional and parastomal hernia performed after abdominoperineal resection. Material and methods Between January 2005 and July 2008, 21 consecutive patients who underwent abdominoperineal resection for low rectal cancer received surgical repair for large incisional hernias with a modified mesh technique consisting of a tension-free attachment of the prosthetic material to the posterior sheath of the rectus abdominis muscle. The surgical outcome was assessed mainly as the recurrence rate of abdominal hernia and postoperative complications. Results Among the 21 patients we reported two minor complications: partial necrosis of the skin flap (4.8%) and a seroma (4.8%). One major complication occurred: extensive necrosis of the skin flap (4.8%). We reported one death due to stroke 20 days after surgery. The mean postoperative hospital stay was 6.1 days (SD, 2.3). Conclusions This study encourages the use of a tension-free modified prosthetic technique for the repair of combined wall defects after abdominoperineal resection. The technique does not lead to an increase in the incidence of complications, offering a considerable advantage to the patient. |
| Databáze: | OpenAIRE |
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