Omentoplasty for persistent perineal sinus after proctectomy for Crohn’s disease

Healing under pressure: hyperbaric oxygen and myocutaneous flap repair for extreme persistent perineal sinus after proctectomy for inflammatory bowel disease

“…To our knowledge there are no data on its effectiveness in extreme PPS. Omentoplasty has been reported to be successful in over 80% of patients after proctectomy for Crohn's disease but the failure of this technique in two patients in the present series supported our preference for RAM flaps.…”

“…Despite the many therapeutic options [9][10][11][12][13][14][15], the management of PPS continues to be difficult in patients with IBD who have extreme PPS. The use of hyperbaric oxygen therapy (HBOT) to promote the healing of chronic wounds, particularly diabetic foot ulcers, is well established [16,17].…”

Factors affecting the healing of the perineum following surgery

“…In the early postoperative period, its benefit may relate to drainage of sepsis. Other available treatment includes omentoplasty, 21 gracilis muscle advancement, 22 posterior thigh fasciocutaneous flaps, 23 gluteus maximus V-Y advancement flaps, 23 vacuum assisted closure [24][25][26] and rectus abdominal myocutaneous flaps. 27 Sutured omentoplasty was reported to have a 100% wound healing rate at three months.…”

Omentoplasty in Abdominoperineal Resection: A Review of the Literature Using a Systematic Approach

“…13,15,23,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] Seven publications were excluded because fewer than ten patients were included. 13,15,29,32,34,41,42 In addition, outcomes for patients in whom an omentoplasty was performed were not specified in two reports, and they were excluded. 31,35 Among the remaining ten reports, which all were included in the final review, none of the identified studies were randomized and only four of the studies included control groups.…”