Management of the perineal wound after abdominoperineal resection.

Abstract:

:Although many options are available for the management of perineal wounds after abdominoperineal resection, ranging from direct closure to flap reconstruction, treatment remains challenging. A better understanding of the aims, drawbacks and progress in perineal wound management after abdominoperineal rectal resection can help the surgeon make better choices for each patient, but it is very difficult to propose a single, optimal, evidence-based procedure for the management of pelvic exenteration. Recent progress provided by the extralevator abdominoperineal resection technique and perforator flap concepts have changed our conception of reconstruction leading to the different technical options highlighted in this review.

journal_name

J Visc Surg

authors

Sinna R,Alharbi M,Assaf N,Perignon D,Qassemyar Q,Gianfermi M,Deguines JB,Regimbeau JM,Mauvais F

doi

10.1016/j.jviscsurg.2013.02.001

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

9-18

issue

1

issn

1878-7886

pii

S1878-7886(13)00011-8

journal_volume

150

pub_type

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