PWE-300 Perineal wound complications in the era of extralevator abdominoperineal excision of the rectum (elape)

Mann, Christopher D.; Bown, Emma; Couch, Daniel; Bhandari, Sanjay; Boyle, K

doi:10.1136/gutjnl-2015-309861.746

Cited by 2 publications

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“…16 This technique, which avoids "waisting" of conventional APR specimens with the aim of reduced margin positivity, tumor perforation, and local recurrence rate, leads to a larger defect and may affect perineal wound morbidity. [17][18][19] Although a relatively rare complication due to modern surgical technique, exhibiting a clinically significant incidence in the region of 1%, perineal hernia is more common after cancer surgery and those suffering from wound infection, 20,21 with postulated anatomical risk factors including coccygectomy and previous hysterectomy.…”

Section: Cancermentioning

confidence: 99%

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Management of Perineal Wounds Following Pelvic Surgery

Mori

Tiernan

2022

Clin Colon Rectal Surg

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Despite advancements in understanding and technique, there remain significant challenges in the management of a complex perineal wound following pelvic surgery. Complications including wound sepsis, fistulation, persistent sinus, and herniation produce additional morbidity and health care costs. This article details the methods of optimizing patient and operative factors to mitigate this risk, alongside strategies to deal with sequelae of wound failure.

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Section: Cancermentioning

confidence: 99%

“…16 This technique, which avoids “waisting” of conventional APR specimens with the aim of reduced margin positivity, tumor perforation, and local recurrence rate, leads to a larger defect and may affect perineal wound morbidity. 17 18 19…”

Section: Risk Factors and Optimizationmentioning

confidence: 99%

Management of Perineal Wounds Following Pelvic Surgery

Mori

Tiernan

2022

Clin Colon Rectal Surg

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“…9 This may require the involvement of a plastics/reconstructive surgery team. Our study was specifically looking at the circumferential resection margin rate (CRM), the local recurrence rates as well as intraoperative perforations rates so as to make an opinion on whether the longer, more complicated operation with potentially higher rates of morbidity is justified.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of standard versus extralevator abdominoperineal resections

Nyandowe

Egedovo

2017

Int Surg J

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Background: The aim was to compare short term outcomes between patients undergoing standard abdominoperineal resection (APR) with those that had an extralevator abdominoperineal excision (ELAPE).Methods: A retrospective study was done on 123 consecutive patients who underwent an abdominoperineal resection for low rectal cancer at the Townsville hospital between August 2003 and January 2015. Data was collected from medical records. Short term oncological outcomes were compared between the APR and ELAPE group.Results: The circumferential resection margin (CRM) involvement rate was significantly lower in the ELAPE group 13.2% versus 19.3% in the APR group. The local recurrence rates in the two groups were not significantly different: 16.8% in the ELAPE versus 17.4% in the APR group. Intraoperative perforations were lower in the ELAPE group 15.3% versus 23.2 % in the APR group. The post-operative wound infection rate was however higher in the ELAPE group 20.3% versus 12.4 % in the APR group.Conclusions: ELAPE was shown to be superior in the CRM and intraoperative perforation rate but the local recurrence rates were similar. ELAPE had a higher wound complication rate than APR.

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PWE-300 Perineal wound complications in the era of extralevator abdominoperineal excision of the rectum (elape)

Cited by 2 publications

References 0 publications

Management of Perineal Wounds Following Pelvic Surgery

Management of Perineal Wounds Following Pelvic Surgery

A comparative study of standard versus extralevator abdominoperineal resections

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