Long-term outcomes of biological mesh repair following extra levator abdominoperineal excision of the rectum: an observational study of 100 patients

Techniques in Coloproctology
P W ThomasJ N Lund

Abstract

Current evidence suggests that pelvic floor reconstruction following extralevator abdominoperineal excision of rectum (ELAPER) may reduce the risk of perineal herniation of intra-abdominal contents. Options for reconstruction include mesh and myocutaneous flaps, for which long-term follow-up data is lacking. The aim of this study was to evaluate the long-term outcomes of biological mesh (Surgisis®, Biodesign™) reconstruction following ELAPER. A retrospective review of all patients having ELAPER in a single institution between 2008 and 2018 was perfomed. Clinic letters were scrutinised for wound complications and all available cross sectional imaging was reviewed to identify evidence of perineal herniation (defined as presence of intra-abdominal content below a line between the coccyx and the lower margin of the pubic symphysis on sagittal view). One hundred patients were identified (median age 66, IQR 59-72 years, 70% male). Median length of follow-up was 4.9 years (IQR 2.3-6.7 years). One, 2- and 5-year mortality rates were 3, 8 and 12%, respectively. Thirty three perineal wounds had not healed by 1 month, but no mesh was infected and no mesh needed to be removed. Only one patient developed a symptomatic perineal hernia requir...Continue Reading

References

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Citations

Jul 22, 2020·Diseases of the Colon and Rectum·Jia Gang Han, Zhen Jun Wang
Jun 27, 2020·World Journal of Gastroenterology : WJG·Yu TaoZhen-Jun Wang
Jan 5, 2021·International Journal of Colorectal Disease·Nasir Zaheer AhmadAmjad Parvaiz
Apr 30, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Dirk WeyheKilian Gloy
Jul 11, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yu ShenZiqiang Wang
Oct 16, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yanika L JohnsonJohn T Jenkins

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Methods Mentioned

BETA
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Software Mentioned

ELAPER

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