Combined Robotic-Assisted Bio-absorbable Mesh Placement and Gluteal Fasciocutaneous Flap Reconstruction: a Novel Technique for the Repair of a Symptomatic Perineal Hernia Following Extralevator Abdominoperineal Resection for Rectal Cancer

2021 ◽  
Author(s):  
Dimitrios Linardoutsos ◽  
Maximos Frountzas ◽  
Spyridon Smparounis ◽  
Maria Natoudi ◽  
Joannis Constantinides
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Perineal Hernia ◽  
Fasciocutaneous Flap ◽  
Flap Reconstruction ◽  
Mesh Placement ◽  
Robotic Assisted ◽  
Novel Technique ◽  
Absorbable Mesh

Perineal Hernia After Laparoscopic Abdominoperineal Resection for Rectal Cancer: Report of Two Cases

2007 ◽  
Vol 50 (8) ◽  
pp. 1271-1274 ◽  
Author(s):  
Alexander A. F. A. Veenhof ◽  
Donald L. van der Peet ◽  
Miguel A. Cuesta
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Perineal Hernia ◽  
Laparoscopic Abdominoperineal Resection

Extended abdominoperineal resection with gluteus maximus flap reconstruction of the pelvic floor for rectal cancer

2007 ◽  
Vol 94 (2) ◽  
pp. 232-238 ◽  
Author(s):  
T. Holm ◽  
A. Ljung ◽  
T. Häggmark ◽  
G. Jurell ◽  
J. Lagergren
Keyword(s):  
Rectal Cancer ◽  
Pelvic Floor ◽  
Abdominoperineal Resection ◽  
Gluteus Maximus ◽  
Flap Reconstruction

scholarly journals A comparative multicentre study evaluating gluteal turnover flap for wound closure after abdominoperineal resection for rectal cancer

2021 ◽  
Author(s):  
S. Sharabiany ◽  
J. J. W. van Dam ◽  
S. Sparenberg ◽  
R. D. Blok ◽  
B. Singh ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Wound Healing ◽  
Abdominoperineal Resection ◽  
Primary Closure ◽  
Healing Rate ◽  
Perineal Wound ◽  
Perineal Hernia ◽  
Perineal Wound Healing ◽  
Flap Closure ◽  
Wound Healing Rate

Abstract Background The aim of this study was to compare perineal wound healing between gluteal turnover flap and primary closure in patients undergoing abdominoperineal resection (APR) for rectal cancer. Methods Patients who underwent APR for primary or recurrent rectal cancer with gluteal turnover flap in two university hospitals (2016–2021) were compared to a multicentre cohort of primary closure (2000–2017). The primary endpoint was uncomplicated perineal wound healing within 30 days. Secondary endpoints were long-term wound healing, related re-interventions, and perineal herniation. The perineal hernia rate was assessed using Kaplan Meier analysis. Results Twenty–five patients had a gluteal turnover flap and 194 had primary closure. The uncomplicated perineal wound-healing rate within 30 days was 68% (17/25) after gluteal turnover flap versus 64% (124/194) after primary closure, OR 2.246; 95% CI 0.734–6.876; p = 0.156 in multivariable analysis. No major wound complications requiring surgical re-intervention occurred after flap closure. Eighteen patients with gluteal turnover flap completed 12-month follow-up, and none of them had chronic perineal sinus, compared to 6% (11/173) after primary closure (p = 0.604). The symptomatic 18-month perineal hernia rate after flap closure was 0%, compared to 9% after primary closure (p = 0.184). Conclusions The uncomplicated perineal wound-healing rate after the gluteal turnover flap and primary closure after APR is similar, and no chronic perineal sinus or perineal hernia occurred after flap closure. Future studies have to confirm potential benefits of the gluteal turnover flap.

scholarly journals Two case reports of perineal hernia after laparoscopic abdominoperineal resection with a proposed modification to the operative technique

2014 ◽  
Vol 96 (2) ◽  
pp. e9-e10 ◽  
Author(s):  
LC Ewan ◽  
PJ Charleston ◽  
SH Pettit
Keyword(s):  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Operative Technique ◽  
Case Reports ◽  
Rare Complication ◽  
Perineal Hernia ◽  
Pelvic Peritoneum ◽  
Proposed Modification ◽  
Laparoscopic Abdominoperineal Resection

Perineal hernia is a rare complication following laparoscopic abdominoperineal resection (APR) for rectal cancer. We present two case reports of perineal hernia following laparoscopic APR and discuss their management. We suggest that they developed because the pelvic peritoneum was left open during laparoscopic APR and propose that closure of the pelvic peritoneum should be routine in this operation.

Composite mesh and gluteal fasciocutaneous rotation flap for perineal hernia repair after abdominoperineal resection: a novel technique

2017 ◽  
Vol 69 (1) ◽  
pp. 109-111 ◽  
Author(s):  
Marios Papadakis ◽  
Gunnar Hübner ◽  
Marzena Bednarek ◽  
Mohamed Arafkas
Keyword(s):  
Hernia Repair ◽  
Abdominoperineal Resection ◽  
Perineal Hernia ◽  
Composite Mesh ◽  
Rotation Flap ◽  
Novel Technique

Robotic-assisted repair of perineal hernia after extralevator abdominoperineal resection

2019 ◽  
Vol 23 (5) ◽  
pp. 479-482 ◽  
Author(s):  
J. Maurissen ◽  
M. Schoneveld ◽  
E. Van Eetvelde ◽  
M. Allaeys
Keyword(s):  
Abdominoperineal Resection ◽  
Perineal Hernia ◽  
Robotic Assisted

Modified V-Y Fasciocutaneous Flap Reconstruction After Abdominoperineal Resection in Irradiated Patients Prevents Wound Dehiscence and Associated Complications

2019 ◽  
Vol 82 (2) ◽  
pp. 218-223 ◽  
Author(s):  
George Kokosis ◽  
Brett T. Phillips ◽  
Joanne Soo ◽  
Luke Poveromo ◽  
Detlev Erdmann ◽  
...  
Keyword(s):  
Abdominoperineal Resection ◽  
Wound Dehiscence ◽  
Fasciocutaneous Flap ◽  
Flap Reconstruction

scholarly journals Transvaginal Small Bowel Evisceration following Abdominoperineal Resection

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Enver Kunduz ◽  
Huseyin Bektasoglu ◽  
Samet Yigman ◽  
Huseyin Akbulut
Keyword(s):  
Rectal Cancer ◽  
Small Bowel ◽  
Hernia Repair ◽  
Abdominoperineal Resection ◽  
Late Stage ◽  
Rare Case ◽  
Surgical Techniques ◽  
Perineal Hernia ◽  
Distal Rectal Cancer ◽  
Perineal Herniation

Abdominoperineal resection (APR) is one of the surgical techniques performed for the distal rectal cancer. The perineal herniation is one of the complications of APR surgery. In this report, we aim to demonstrate a rare case of small bowel evisceration and strangulation secondary to the transvaginal herniation evolved in the late stage after perineal hernia repair following laparoscopic APR.

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