Predictors of one-year outcomes following the abdominoperineal resection

Rencüzoğulları, Ahmet; Abbas, Maher A.; Steele, Scott R.; Stocchi, Luca; Hull, Tracy L.; Binboğa, Sinan; Görgün, Emre

doi:10.1016/j.amjsurg.2018.08.021

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…[1][2][3][4][5][6][7][8] The reported incidence varies from less than 1% to 13%; [3][4][5][6][8][9][10][11] in our previous study, we found an incidence of 1%. 12 Due to its rarity, the literature on surgical PH repair is comprised of case reports and small case series, and not one surgical approach has been established as superior. Repair approaches that have been described include perineal, transabdominal (open or laparoscopic), or combined; with the use of mesh or primary sutures or a combination; or with the use of a muscle flap.…”

Section: Principales Medidas De Resultadomentioning

confidence: 99%

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Surgical Repair of Postoperative Perineal Hernia: A Case for the Perineal Approach

Hung

Abbass

Sapcı

et al. 2022

Diseases of the Colon &Amp; Rectum

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BACKGROUND:Perineal hernia is a well-known, rare complication following abdominoperineal resection for rectal cancer. Due to its rarity, the literature on its surgical repair is comprised of case reports and small case series, and not one surgical approach has been established as superior.OBJECTIVE: This study aimed to identify the repair methods used at our institution and their outcomes. We hypothesized that a perineal approach would have a similar recurrence rate to a transabdominal repair with shorter hospital length of stay.

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Section: Principales Medidas De Resultadomentioning

confidence: 99%

“…Drains were used in 22 patients (10 transabdominal and 12 perineal repairs) for a range of 2 days to 9 weeks, and a median of 10 days. The median LOS after a perineal approach was 4 days (1-12) and after a transabdominal approach was 8 days (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18).…”

Section: Resultsmentioning

confidence: 99%

Surgical Repair of Postoperative Perineal Hernia: A Case for the Perineal Approach

Hung

Abbass

Sapcı

et al. 2022

Diseases of the Colon &Amp; Rectum

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“…An extensive resection is a much more invasive procedure with disadvantages such as a longer hospital stay, a longer rehabilitation period and often the burden of a colostomy with negative impact on quality of life 7 . Furthermore, an extensive resection is associated with a higher complication rate, in particular readmission and wound infections but also voiding problems and sexual dysfunction can occur 8–10 .…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of anorectal melanoma: a systematic review and meta-analysis

et al. 2021

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Background Anorectal melanoma is a rare neoplasm with a poor prognosis. The surgical approaches for anorectal melanoma can be categorized into local excision (procedures without lymph node removal and preservation of the rectum) and extensive resection (procedures with rectum and pararectal lymph node removal). The aim of this systematic review and meta-analysis was to compare the survival of patients who underwent extensive resection with that of patients who underwent local excision, stratifying patients according to tumour stage. Methods A literature review was performed according to PRISMA guidelines by searching MEDLINE/PubMed for manuscripts published until March 2021. Studies comparing survival outcomes in patients with anorectal melanoma who underwent local excision versus extensive resection were screened for eligibility. Meta-analysis was performed for overall survival after the different surgical approaches, stratified by tumour stage. Results There were 347 studiesidentified of which 34 were included for meta-analysis with a total of 1858 patients. There was no significant difference in overall survival between the surgical approaches in patients per stage (stage I odds ratio 1.30 (95 per cent c.i. 0.62 to 2.72, P = 0.49); stage II odds ratio 1.61 (95 per cent c.i. 0.62 to 4.18, P = 0.33); stage I–III odds ratio 1.19 (95 per cent c.i. 0.83 to 1.70, P = 0.35). Subgroup analyses were conducted for the time intervals (<2000, 2001–2010 and 2011–2021) and for continent of study origin. Subgroup analysis for time interval and continent of origin also showed no statistically significant differences in overall survival. Conclusion No significant survival benefit exists for patients with anorectal melanoma treated with local excision or extensive resection, independent of tumour stage.

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“…Disadvantages of this approach are a longer hospital stay and rehabilitation period. Another disadvantage of the extensive resection procedure is a much higher complication rate; in particular wound infections and readmission, but also voiding dysfunction and sexual dysfunction can occur [9][10][11]. In addition, the subsequent burden of a colostomy can have significant impact on quality of life [12].…”

Section: Introductionmentioning

confidence: 99%