Reconstruction of the pelvic floor with Hem-o-lok clips in laparoscopic abdominoperineal excision of rectal cancer

2016 ◽  
Vol 31 (8) ◽  
pp. 1539-1540 ◽  
Author(s):  
Xiaowen Xu ◽  
Jie Yuan ◽  
Zhuqing Zhou ◽  
Junjie Xing ◽  
Chuangang Fu
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Abdominoperineal Excision

scholarly journals Multicentre, randomised trial comparing acellular porcine collagen implant versus gluteus maximus myocutaneous flap for reconstruction of the pelvic floor after extended abdominoperineal excision of rectum: study protocol for the Nordic Extended Abdominoperineal Excision (NEAPE) study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027255 ◽  
Author(s):  
Martin Rutegård ◽  
Jörgen Rutegård ◽  
Markku M Haapamäki
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Myocutaneous Flap ◽  
Gluteus Maximus ◽  
Abdominoperineal Excision ◽  
Ethical Review ◽  
Reconstruction Method ◽  
Collagen Implant ◽  
Porcine Collagen ◽  
Gluteus Maximus Myocutaneous Flap

IntroductionDifferent surgical techniques are used to cover the defect in the floor of the lesser pelvis after an ‘extralevator’ or ‘extended’ abdominoperineal excision for advanced rectal cancer. However, these operations are potentially mutilating, and the reconstruction method of the pelvic floor has been studied only sparsely. We aim to study whether a porcine-collagen implant is superior or equally beneficial to a gluteus maximus myocutaneous flap as a reconstruction method.Methods and analysisThis is a multicentre non-blinded randomised controlled trial with the experimental arm using a porcine-collagen implant and the control arm using a gluteus maximus muscle and skin rotation flap. Considered for inclusion are patients with rectal cancer, who are operated on with a wide abdominoperineal rectal excision including most of the levator muscles and where the muscle remnants cannot be closed in the midline with sutures. Patients with a primary or recurrent rectal cancer with an estimated survival of more than a year are eligible. The randomisation is computer generated with a concealed sequence and stratified by participating hospital and preoperative radiotherapy regimen. The main outcome is physical performance 6 months after surgery measured with the timed-stands test. Secondary outcomes are perineal wound healing, surgical complications, quality of life, ability to sit and other outcomes measured at 3, 6 and 12 months after surgery. To be able to state experimental arm non-inferiority with a 10% margin of the primary outcome with 90% statistical power and assuming 10% attrition, we aim to enrol 85 patients from May 2011 onwards.Ethics and disseminationThe study has been approved by the Regional Ethical Review board at Umeå University (protocol no: NEAPE-2010-335-31M). The results will be disseminated through patient associations and conventional scientific channels.Trial registration numberNCT01347697; Pre-results.

scholarly journals Extralevator abdominoperineal excision for rectal cancer with biological mesh for pelvic floor reconstruction

Oncotarget ◽  
2016 ◽  
Vol 8 (5) ◽  
pp. 8818-8824 ◽  
Author(s):  
Wei Ge ◽  
Song-song Jiang ◽  
Wang Qi ◽  
Hao Chen ◽  
Li-ming Zheng ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Abdominoperineal Excision ◽  
Biological Mesh ◽  
Pelvic Floor Reconstruction

Dynamic MRI to assess pelvic floor reconstruction with Strattice™mesh after extralevator abdominoperineal excision for rectal cancer - a video vignette

2016 ◽  
Vol 18 (3) ◽  
pp. 313-314
Author(s):  
M. I. Aslam ◽  
I. Mykoniatis ◽  
C. Mann ◽  
J. A. Stephenson ◽  
R. Verma ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Dynamic Mri ◽  
Abdominoperineal Excision ◽  
Pelvic Floor Reconstruction ◽  
Video Vignette

A Systematic Review to Assess Resection Margin Status After Abdominoperineal Excision and Pelvic Exenteration for Rectal Cancer

2017 ◽  
Vol 265 (2) ◽  
pp. 291-299 ◽  
Author(s):  
Constantinos Simillis ◽  
Daniel L. H. Baird ◽  
Christos Kontovounisios ◽  
Nikhil Pawa ◽  
Gina Brown ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rectal Cancer ◽  
Resection Margin ◽  
Pelvic Exenteration ◽  
Abdominoperineal Excision ◽  
Margin Status ◽  
Resection Margin Status

scholarly journals Persistent perineal morbidity is common following abdominoperineal excision for rectal cancer

2015 ◽  
Vol 30 (11) ◽  
pp. 1563-1570 ◽  
Author(s):  
Dan Asplund ◽  
Mattias Prytz ◽  
David Bock ◽  
Eva Haglind ◽  
Eva Angenete
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Excision

Extralevator withvsnonextralevator abdominoperineal excision for rectal cancer: the RELAPe randomized controlled trial

2017 ◽  
Vol 19 (2) ◽  
pp. 148-157 ◽  
Author(s):  
F. Bianco ◽  
G. Romano ◽  
P. Tsarkov ◽  
G. Stanojevic ◽  
K. Shroyer ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Abdominoperineal Excision ◽  
Randomized Controlled

Effects of pelvic floor muscle exercise on faecal incontinence in rectal cancer patients after stoma closure

2015 ◽  
Vol 25 (3) ◽  
pp. 449-457 ◽  
Author(s):  
Y.-H. Lin ◽  
H.-Y. Yang ◽  
S.-L. Hung ◽  
H.-P. Chen ◽  
K.-W. Liu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Cancer Patients ◽  
Faecal Incontinence ◽  
Pelvic Floor Muscle ◽  
Stoma Closure ◽  
Muscle Exercise ◽  
Pelvic Floor Muscle Exercise
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