Primaryvsmyocutaneous flap closure of perineal defects following abdominoperineal resection for colorectal disease: a systematic review and meta-analysis

2019 ◽  
Vol 21 (2) ◽  
pp. 138-155 ◽  
Author(s):  
XY. Yang ◽  
MT. Wei ◽  
XT. Yang ◽  
YZ. He ◽  
Y. Hao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominoperineal Resection ◽  
Meta Analysis ◽  
Colorectal Disease ◽  
Flap Closure

scholarly journals Perioperative and oncological outcomes of abdominoperineal resection in the prone position vs the classic lithotomy position: A systematic review with meta‐analysis

2019 ◽  
Vol 119 (7) ◽  
pp. 979-986
Author(s):  
Jose Wilson B. Mesquita‐Neto ◽  
Hassan Mouzaihem ◽  
Francisco Igor B. Macedo ◽  
Lance K. Heilbrun ◽  
Donald W. Weaver ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prone Position ◽  
Abdominoperineal Resection ◽  
Meta Analysis ◽  
Lithotomy Position ◽  
Oncological Outcomes

Laparoscopic Versus Conventional Open Abdominoperineal Resection for Rectal Cancer: An Updated Systematic Review and Meta-Analysis

2018 ◽  
Vol 28 (5) ◽  
pp. 526-539 ◽  
Author(s):  
Xubing Zhang ◽  
Qingbin Wu ◽  
Tao Hu ◽  
Chaoyang Gu ◽  
Liang Bi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Meta Analysis

Extralevator vs conventional abdominoperineal resection for rectal cancer—A systematic review and meta-analysis

2016 ◽  
Vol 212 (3) ◽  
pp. 511-526 ◽  
Author(s):  
Ionut Negoi ◽  
Sorin Hostiuc ◽  
Sorin Paun ◽  
Ruxandra I. Negoi ◽  
Mircea Beuran
Keyword(s):  
Systematic Review ◽  
Rectal Cancer ◽  
Abdominoperineal Resection ◽  
Meta Analysis

scholarly journals Perineal Wound Closure Following Abdominoperineal Resection and Pelvic Exenteration for Cancer: A Systematic Review and Meta-Analysis

Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 721
Author(s):  
Etienne Buscail ◽  
Cindy Canivet ◽  
Jason Shourick ◽  
Elodie Chantalat ◽  
Nicolas Carrere ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominoperineal Resection ◽  
Pelvic Exenteration ◽  
Data Extraction ◽  
Meta Analysis ◽  
Perineal Wound ◽  
High Rate ◽  
Wound Complications ◽  
Group A ◽  
Group B

Background. Abdominoperineal resection (APR) and pelvic exenteration (PE) for the treatment of cancer require extensive pelvic resection with a high rate of postoperative complications. The objective of this work was to systematically review and meta-analyze the effects of vertical rectus abdominis myocutaneous flap (VRAMf) and mesh closure on perineal morbidity following APR and PE (mainly for anal and rectal cancers). Methods. We searched PubMed, Cochrane, and EMBASE for eligible studies as of the year 2000. After data extraction, a meta-analysis was performed to compare perineal wound morbidity. The studies were distributed as follows: Group A comparing primary closure (PC) and VRAMf, Group B comparing PC and mesh closure, and Group C comparing PC and VRAMf in PE. Results. Our systematic review yielded 18 eligible studies involving 2180 patients (1206 primary closures, 647 flap closures, 327 mesh closures). The meta-analysis of Groups A and B showed PC to be associated with an increase in the rate of total (Group A: OR 0.55, 95% CI 0.43–0.71; p < 0.01/Group B: OR 0.54, CI 0.17–1.68; p = 0.18) and major perineal wound complications (Group A: OR 0.49, 95% CI 0.35–0.68; p < 0.001/Group B: OR 0.38, 95% CI 0.12–1.17; p < 0.01). PC was associated with a decrease in total (OR 2.46, 95% CI 1.39–4.35; p < 0.01) and major (OR 1.67, 95% CI 0.90–3.08; p = 0.1) perineal complications in Group C. Conclusions. Our results confirm the contribution of the VRAMf in reducing major complications in APR. Similarly, biological prostheses offer an interesting alternative in pelvic reconstruction. For PE, an adapted reconstruction must be proposed with specialized expertise.

scholarly journals Prone Compared With Lithotomy for Abdominoperineal Resection: A Systematic Review and Meta-analysis

2019 ◽  
Vol 243 ◽  
pp. 469-480 ◽  
Author(s):  
Tyler McKechnie ◽  
Yung Lee ◽  
Jeremy E. Springer ◽  
Aristithes G. Doumouras ◽  
Dennis Hong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominoperineal Resection ◽  
Meta Analysis

Hand-assisted laparoscopic surgery versus open surgery for colorectal disease: a systematic review and meta-analysis

2014 ◽  
Vol 207 (1) ◽  
pp. 109-119 ◽  
Author(s):  
Jie Ding ◽  
Yu Xia ◽  
Guo-qing Liao ◽  
Zhong-min Zhang ◽  
Sheng Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Laparoscopic Surgery ◽  
Open Surgery ◽  
Meta Analysis ◽  
Colorectal Disease
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