Cleft closure for the treatment of unhealed perineal sinus

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
G BranaganA Senapati

Abstract

Despite improvements in surgical practice, persistent perineal wound sinus is still a common complication after proctectomy. This study presents the success of a modified cleft closure technique in dealing with this problem. From May 1997 patients with a persistent perineal sinus after surgery underwent a cleft closure - similar to that performed for patients with pilonidal sinus disease. Eight patients (6 male, 2 female) with an average age of 52 years underwent a cleft closure for a persistent perineal sinus after surgery. Four patients had undergone a proctocolectomy (ulcerative colitis), 2 an abdominoperineal excision of the rectum (adenocarcinoma) and 2 a proctectomy (1 Crohn's disease, 1 complication of diverticular disease). Symptoms had been present for an average of 41 months (range 5-152 months) and 3 patients had undergone other procedures attempted previously to deal with the problem. The first three patients had the procedure as an inpatient with an average stay of 4.7 days. The next 5 patients had the procedure as a day case (2 local anaesthetic, 3 general anaesthetic). Two patients developed a postoperative wound infection and all but one wound had healed completely by 8 weeks. In this patient the procedure was r...Continue Reading

References

Apr 1, 1976·Archives of Surgery·R Anderson, R B Turnbull
Aug 1, 1978·The British Journal of Surgery·C G MarksJ Wadsworth
Oct 1, 1978·Diseases of the Colon and Rectum·F S Baker
Feb 1, 1991·Diseases of the Colon and Rectum·W A Brough, P F Schofield
May 1, 1988·The British Journal of Surgery·N S Ambrose, J Alexander-Williams
Jul 1, 1987·American Journal of Surgery·J U Bascom
Feb 1, 1986·The British Journal of Surgery·B E Scammell, M R Keighley
Sep 1, 1985·American Journal of Surgery·D J Hurwitz, P C Zwiebel
Dec 1, 1966·The British Journal of Surgery·J M WattsJ C Goligher
Jun 1, 1983·American Journal of Surgery·P Kirkegaard, P V Madsen
May 1, 1982·Diseases of the Colon and Rectum·E J Lubbers
Apr 1, 1980·The British Journal of Surgery·P BaudotJ Alexander-Williams
Jan 1, 1980·World Journal of Surgery·B T Ferrari, L DenBesten
Apr 22, 1999·Diseases of the Colon and Rectum·T YamamotoM R Keighley
May 30, 2001·American Journal of Surgery·T YamamotoM R Keighley
Jul 24, 2002·American Journal of Surgery·Thomas Bascom, John U Bascom

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Citations

Feb 2, 2010·Clinics in Colon and Rectal Surgery·James W Ogilvie, Rocco Ricciardi
Nov 1, 2007·Clinics in Colon and Rectal Surgery·Jill C Genua, David A Vivas
Dec 16, 2011·Techniques in Coloproctology·B KayaK Karabulut
Apr 17, 2007·American Journal of Surgery·John Bascom, Thomas Bascom
May 17, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T R WilsonJ E Hartley
May 16, 2015·Techniques in Coloproctology·M Al-sheikhC Hepworth
May 4, 2016·International Journal of Surgery Case Reports·S AuJ H Anderson
Jul 9, 2011·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R DudinkJ Heemskerk

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