Healing of the perineal wound after proctectomy for nonmalignant conditions

Diseases of the Colon and Rectum
E J Lubbers


A series of 62 patients was studied as regards healing of the perineal wound after proctectomy; 23 patients suffered from ulcerative colitis, 25 from Crohn's colitis, and 14 from polyposis coli. The overall results were in keeping with data from the literature: 73.9 per cent of wounds in patients with ulcerative colitis and 60 per cent of wounds in patients with Crohn's colitis were healed at six months. The worst results were obtained with packing of the perineal wound, especially in inflammatory bowel disease: 61 per cent of those wounds were not healed at six months. Superior results were obtained with conservative surgery, consisting of perirectal excision and intersphincteric resection. With this technique perineal wounds were not healed at six months in 13.6 per cent of patients with inflammatory bowel disease. In the treatment of persistent sinuses after proctectomy, curettage proved disappointing. Better results were obtained with excision of the sinus tract and primary closure of the resulting wound.


May 1, 1978·American Journal of Surgery·E J SmithS M Poticha
Apr 1, 1978·Diseases of the Colon and Rectum·M L CormanV H Ross
Jun 1, 1977·The British Journal of Surgery·J A Lyttle, A G Parks
Feb 1, 1974·The British Journal of Surgery·J H BroaderJ Alexander-Williams
Nov 1, 1971·The British Journal of Surgery·F T de DombalJ C Goligher
Oct 1, 1969·The British Journal of Surgery·K N JalanR J Prescott
Jan 1, 1970·American Journal of Surgery·P H RoyG M Farrow
Dec 1, 1966·The British Journal of Surgery·J M WattsJ C Goligher


Nov 1, 1991·International Journal of Colorectal Disease·H John, P Buchmann
Apr 22, 1999·Diseases of the Colon and Rectum·T YamamotoM R Keighley
Mar 4, 2000·Diseases of the Colon and Rectum·T YamamotoM R Keighley
May 1, 1985·Diseases of the Colon and Rectum·T M HeimannA H Aufses
May 30, 2001·American Journal of Surgery·T YamamotoM R Keighley
Feb 1, 2004·Clinics in Colon and Rectal Surgery·Eric J Dozois
Nov 1, 2007·Clinics in Colon and Rectal Surgery·Jill C Genua, David A Vivas
Oct 8, 2011·Diseases of the Colon and Rectum·J M O'RiordanR S McLeod
Apr 25, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G BranaganA Senapati
Jan 10, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·P H E TeeuwenR P Bleichrodt
Nov 17, 2005·The British Journal of Surgery·M PrudhommeR Parc
Feb 1, 1986·The British Journal of Surgery·B E Scammell, M R Keighley
Feb 1, 1997·The Surgical Clinics of North America·A Del Pino, H Abcarian
Oct 1, 1992·Diseases of the Colon and Rectum·M E SherI Gelernt
Mar 2, 2021·World Journal of Gastrointestinal Surgery·Orla HennessyMyles Joyce

Related Concepts

Ulcerative Colitis
Malignant Tumor of Colon
Intestinal Polyps
Anogenital Region
Wound Healing

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