Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis.

Techniques in Coloproctology
Carlos Moreno-SanzJoaquín Picazo-Yeste

Abstract

Abdominoperineal resection (APR) is not free of complications, in particular complications due to the occupation of the pelvis by the small bowel after surgery. A number of surgical techniques have been described to prevent the small bowel from entering and adhering to the pelvis (pelvic partition), but there is no agreement concerning their use. The aim of this study was to evaluate the feasibility, effectiveness and safety of using an absorbable synthetic prosthetic material for pelvic partitioning after APR. A prospective non-randomised longitudinal pilot study was carried out on a series of 10 patients who underwent APR due to lower-third rectal cancer, in order to evaluate the feasibility, safety and efficacy of pelvic partitioning with an absorbable synthetic prosthetic material. In all the patients, it was possible to perform a radical resection and to install the prosthesis. After a mean follow-up of 9 months (range: 4-18 months), no abdominal or perineal complications were detected. One patient (10%) suffered chronic pelvic pain. Pelvic partition after APR of the rectum with an absorbable synthetic prosthesis is feasible, effective and safe.

References

Sep 1, 1992·Diseases of the Colon and Rectum·J S ChenH A Fan
Dec 1, 1992·Diseases of the Colon and Rectum·P Lechner, H Cesnik
Feb 1, 1992·The Australian and New Zealand Journal of Surgery·M L RiceR H Hurlow
Nov 1, 1991·International Journal of Colorectal Disease·H John, P Buchmann
Mar 1, 1991·Archives of Surgery·K S Dasmahapatra, A P Swaminathan
Jan 1, 1988·Diseases of the Colon and Rectum·D F DevereuxL Zinkin
Jan 1, 1984·International Journal of Radiation Oncology, Biology, Physics·J E RussJ D Gagnon
Jan 1, 1980·Diseases of the Colon and Rectum·C P PageD W Becker
Sep 1, 1994·Diseases of the Colon and Rectum·C W PollardD M Ilstrup
Nov 22, 1997·Diseases of the Colon and Rectum·A BeitlerN J Petrelli
Dec 10, 1999·Journal of the American College of Surgeons·B E WaddellN J Petrelli
Oct 6, 2001·American Journal of Surgery·J M RegimbeauUNKNOWN French University Association for Surgical Research
Sep 1, 2004·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J J TuechJ-F Rodier
Mar 8, 2005·Journal of Pediatric Surgery·Tomasz DrewaRafa Czajkowski
Sep 3, 2005·Gastroenterología y hepatología·M Pera, M Pascual
Aug 23, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A GuptaA Keshishian
Jun 7, 2007·Tissue Engineering·Nadya L Lumelsky
Feb 5, 2008·World Journal of Surgery·David Patrick O'BrienConor Delaney
Mar 20, 2008·Plastic and Reconstructive Surgery·Alex K WongBabak J Mehrara
May 22, 2008·Surgical Innovation·Carlos Moreno-SanzGloria Tadeo-Ruiz
Nov 7, 2008·International Journal of Colorectal Disease·Peer Wille-JørgensenPeter Møller
Nov 10, 2009·Clinical Oncology : a Journal of the Royal College of Radiologists·V S TheisS Lal
Jan 6, 2010·Plastic and Reconstructive Surgery·Jeroen M SmitPaul M N Werker
Mar 26, 2010·Plastic and Reconstructive Surgery·Kristen AngsterGedge D Rosson

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Citations

Feb 27, 2013·International Journal of Colorectal Disease·Hisham Z ButtBaljit Singh
Jun 2, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yasuko MaedaCarolynne J Vaizey
Jul 11, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yu ShenZiqiang Wang

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