en
Scientific article
English

Biological mesh reconstruction of the pelvic floor following abdominoperineal excision for cancer: A review

Published inWorld journal of clinical oncology, vol. 8, no. 3, p. 249-254
Publication date2017
Abstract

Extralevator abdominoperineal excision and pelvic exenteration are mutilating operations that leave wide perineal wounds. Such large wounds are prone to infection and perineal herniation, and their closure is a major concern to most surgeons. Different approaches to the perineal repair exist, varying from primary or mesh closure to myocutaneous flaps. Each technique has its own associated advantages and potential complications and the ideal approach is still debated. In the present study, we reviewed the current literature and our own local data regarding the use of biological mesh for perineal wound closure. Current evidence suggests that the use of biological mesh carries an acceptable risk of wound complications compared to primary closure and is similar to flap reconstruction. In addition, the rate of perineal hernia is lower in early follow-up, while long-term hernia occurrence appears to be similar between the different techniques. Finally, it is an easy and quick reconstruction method. Although more expensive than primary closure, the cost associated with the use of a biological mesh is at least equal, if not less, than flap reconstruction.

Keywords
  • Abdominoperineal resection
  • Biological mesh
  • Pelvic exenteration
  • Perineal hernia
  • Perineal wound infection
  • Primary perineal wound closure
  • Rectal cancer
Citation (ISO format)
SCHILTZ, Boris et al. Biological mesh reconstruction of the pelvic floor following abdominoperineal excision for cancer: A review. In: World journal of clinical oncology, 2017, vol. 8, n° 3, p. 249–254. doi: 10.5306/wjco.v8.i3.249
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ISSN of the journal2218-4333
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