Pelvic floor reconstruction with bilateral gracilis flaps following extralevator abdominoperineal excision - a video vignette

2017 ◽  
Vol 19 (12) ◽  
pp. 1120-1121 ◽  
Author(s):  
C. S. Jones ◽  
J. Nowers ◽  
N. J. Smart ◽  
J. Coelho ◽  
A. Watts ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Abdominoperineal Excision ◽  
Pelvic Floor Reconstruction ◽  
Video Vignette

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

scholarly journals The results of use of myoplasty for closure of the pelvic floor defect after extralevator abdominoperineal excision of the rectum

2019 ◽  
Vol 17 (6) ◽  
pp. 35-40
Author(s):  
N. A. Domansky ◽  
V. V. Semiglazov ◽  
A. M. Karachun ◽  
K. K. Lebedev ◽  
D. V. Samsonov ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Early Postoperative Period ◽  
Wound Complications ◽  
Pelvic Floor Reconstruction ◽  
Group Iii ◽  
Group I ◽  
Perineal Wound Complications ◽  
Group Ii

Background. Extralevator abdominoperineal excision is associated with a high incidence of perineal wound complications. There is no uniform standard for choosing the method for pelvic floor reconstruction after extralevator abdominoperineal excision.The purpose of the study was to compare the results of extralevator abdominoperineal excisions of the rectum using various methods of perineal wound closure.Materials and Methods. Between 2014 and 2018, 120 patients underwent extralevator abdominoperineal excisions of the rectum using various options for closure of the pelvic floor. The patients were divided into 3 groups. Group I patients (n=64) underwent simple plasty of the peritoneal wound. Group II patients (n=43) underwent myoplasty using the gluteus maximus muscle. Group III patients (n=13) underwent myoplasty using the rectus abdominis muscle. The incidence of perineal wound complications in the early postoperative period was assessed.Results. The total number of perineal wound complications in Group I, II and III was 33 (51.5 %), 13 (30.2 %), and 6 (46.1 %), respectively. Grade IIIA-IIIB complications according to the Clavien-Dindo classification were observed in 25 % of Group I patients, in 18.6 % of Group II patients and in 7.7 % of Group II patients. Postoperative perineal wound complications occurred more often in Group I patients after simple plasty than in Group II and III patients after myoplasty (51.5 % versus 30.2 %). However, perineal wound complications were observed more often in Group III than in Group II (46.1 % versus 30.2 %, respectively). No significant differences in the frequency of complications between 3 groups were found.Conclusion. Using various options for closure of the pelvic floor after extralevator abdominoperineal excisions of the rectum, there was a tendency to reduction in the incidence of grade IIIA-IIIB perineal wound complications.

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

scholarly journals PELVIC FLOOR RECONSTRUCTION WITH GLUTEUS MAXIMUS FLAP AFTER EXTRALEVATOR ABDOMINOPERINEAL EXCISION OF THE RECTUM

2018 ◽  
Vol 17 (2) ◽  
pp. 118-122
Author(s):  
V. S. Belyaev ◽  
A. A. Nesytyh ◽  
Y. A. Dykhno ◽  
A. A. Versenyov ◽  
I. A. Laletin ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Gluteus Maximus ◽  
Abdominoperineal Excision ◽  
Pelvic Floor Reconstruction

scholarly journals Biological tissue graft for pelvic floor reconstruction after cylindrical abdominoperineal excision of the rectum and anal canal

2009 ◽  
Vol 13 (3) ◽  
pp. 257-258 ◽  
Author(s):  
C. L. Boereboom ◽  
N. F. S. Watson ◽  
R. Sivakumar ◽  
N. G. Hurst ◽  
W. J. Speake
Keyword(s):  
Anal Canal ◽  
Pelvic Floor ◽  
Biological Tissue ◽  
Abdominoperineal Excision ◽  
Pelvic Floor Reconstruction ◽  
Tissue Graft

Combined surgical approach for large sacral chordoma resection with pelvic floor reconstruction – a video vignette

2020 ◽  
Author(s):  
Sergey Efetov ◽  
Victor S. Kochetkov ◽  
Kirill B. Puzakov ◽  
Inna A. Tulina ◽  
Polina S. Kozlova ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Surgical Approach ◽  
Pelvic Floor Reconstruction ◽  
Sacral Chordoma ◽  
Video Vignette
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