Benefits of Perineal Colostomy on Perineal Morbidity After Abdominoperineal Resection

Abstract

Perineal colostomy is a safe and functionally acceptable procedure for perineal reconstruction after abdominoperineal resection for rectal adenocarcinoma. In the present study, there was no additional morbidity related to perineal colostomy, and this procedure was associated with a decrease in perineal morbidity and healing time compared with primary perineal closure, in particular, after radiotherapy treatment.

A Systematic Review and Meta-analysis on Omentoplasty for the Management of Abdominoperineal Defects in Patients Treated for Cancer

“…After deduplication, the combined search yielded 1081 articles, of which 26 were identified as potentially eligible. After contacting the authors, individual patient data were provided in six [4][5][6][22][23][24] and aggregate data in four. [25][26][27][28] An additional of 4 studies with full text of the original paper only were included.…”

Impact of perineal pseudocontinent colostomy on perineal wound healing after abdominoperineal resection

“…The perineal wound healing rate (healed wounds) at 6 and 12 weeks was 70.9% and 90.3% versus 50% and 73% in the PPC group and non‐PPC group, respectively. Healing after a perineal colostomy occurred more rapidly in Kirzin's study 19. The RAM flap decreased wound healing time 14, 15.…”

Risk Factors of Poor Functional Results at 1-Year After Pseudocontinent Perineal Colostomy for Ultralow Rectal Adenocarcinoma

“…2 however, it is associated with a negative impact on the quality of life after permanent iliac colostomy, 3-5 especially on muslim patients, 6 and a high rate of perineal wound complications, 7,8 which occur in 10% to 65% of the cases. 2 however, it is associated with a negative impact on the quality of life after permanent iliac colostomy, 3-5 especially on muslim patients, 6 and a high rate of perineal wound complications, 7,8 which occur in 10% to 65% of the cases.…”

“…2 however, it is associated with a negative impact on the quality of life after permanent iliac colostomy, 3-5 especially on muslim patients, 6 and a high rate of perineal wound complications, 7,8 which occur in 10% to 65% of the cases. 2,[11][12][13][14][15][16][17] however, most of these studies were small series, and none of them analyzed factors influencing functional outcomes. since it was initially described by schmidt and Bruch 10 for left lower quadrant colostomies, and then applied to the perineum, only a few centers internationally have practiced this technique.…”