Biological mesh used to repair perineal hernias following abdominoperineal resection for anorectal cancer

被引：6

作者：

Jafari, M. ^{[1
]}

Schneider-Bordat, L. ^{[1
]}

Hersant, B. ^{[2
]}

机构：

[1] Ctr Oscar Lambret, Serv Chirurg Oncol, 3 Rue Combemale, F-59020 Lille, France

[2] Hop Univ Henri Mondor, Serv Chirurg Plast Reconstructrice Esthet & Maxil, 51 Ave Marechal de Lattre de Tassigny, F-94010 Creteil, France

来源：

ANNALES DE CHIRURGIE PLASTIQUE ESTHETIQUE | 2020年 / 65卷 / 04期

关键词：

Abdominoperineal excision; Perineal hernia; Biological mesh; EXCISION; TISSUE; RECONSTRUCTION; CLOSURE; COMPLICATIONS;

D O I：

10.1016/j.anplas.2019.12.004

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose. - This study aimed to determine the outcome for patients who had undergone perineal hernia repair, via a perineal approach, using a biological mesh post-abdominoperineal excision (APE) for anorectal cancer. Method. - All consecutive patients having undergone perineal hernia repair involving an extracellular matrix of porcine small intestinal submucosa at our hospital between 2015 and 2018 were included. Follow-up clinical examinations and computed tomography scans were performed. Results. - Six patients were treated surgically for symptomatic perineal hernia after a median of 31 months from APE. The median follow-up after hernia repair was 11 months (interquartile range [IQR], 6-35 months). Three patients (50%) developed a recurrent perineal hernia after a median interval of 6 months. Conclusion. - Perineal hernia repair using a biological mesh resulted in a high recurrence rate in patients who had undergone APE for anorectal cancer. (C) 2020 Elsevier Masson SAS. All rights reserved.

引用

页码：E15 / E21

页数：7

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