Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review
The purpose of the study was to analyze studies reporting pelvic floor reconstruction after extralevator abdominoperineal excision for rectal cancer, reconstruction options, including advantages and disadvantages.Material and Methods. A literature search was performed using the Medline, Embase and C...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Russian Academy of Sciences, Tomsk National Research Medical Center
2020-04-01
|
| Series: | Сибирский онкологический журнал |
| Subjects: | |
| Online Access: | https://www.siboncoj.ru/jour/article/view/1408 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849408372569276416 |
|---|---|
| author | V. S. Belyaev Y. A. Dykhno A. A. Nesytyh |
| author_facet | V. S. Belyaev Y. A. Dykhno A. A. Nesytyh |
| author_sort | V. S. Belyaev |
| collection | DOAJ |
| description | The purpose of the study was to analyze studies reporting pelvic floor reconstruction after extralevator abdominoperineal excision for rectal cancer, reconstruction options, including advantages and disadvantages.Material and Methods. A literature search was performed using the Medline, Embase and Cochrane Library databases. Randomized clinical studies reporting the pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum were evaluated.Results. Although many surgical options are available for the management of perineal wounds after cylindrical abdominoperineal extirpation of the rectum, treatment remains challenging. Primary perineal defect closure is a simple and economical way to close a wound; however it has a high rate of perineal wound complications with occurrence of perineal hernia. Although various options of myo- and alloplastic reconstruction have several advantages, they are more labor-and cost-intensive.Conclusion. There is a lack of randomized trials reporting the closure of the perineal defect after extralevator abdominoperineal extirpation of the rectum. There remains no consensus on which management strategy is superior; therefore, further studies are needed. |
| format | Article |
| id | doaj-art-65a47b8fb25e4643b54dc4b1caac7e78 |
| institution | Kabale University |
| issn | 1814-4861 2312-3168 |
| language | Russian |
| publishDate | 2020-04-01 |
| publisher | Russian Academy of Sciences, Tomsk National Research Medical Center |
| record_format | Article |
| series | Сибирский онкологический журнал |
| spelling | doaj-art-65a47b8fb25e4643b54dc4b1caac7e782025-08-20T03:35:48ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682020-04-0119212513110.21294/1814-4861-2020-19-2-125-131737Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature reviewV. S. Belyaev0Y. A. Dykhno1A. A. Nesytyh2A.I. Kryzhanovsky Krasnoyarsk Regional Clinical Oncologic DispensaryV.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia,A.I. Kryzhanovsky Krasnoyarsk Regional Clinical Oncologic DispensaryThe purpose of the study was to analyze studies reporting pelvic floor reconstruction after extralevator abdominoperineal excision for rectal cancer, reconstruction options, including advantages and disadvantages.Material and Methods. A literature search was performed using the Medline, Embase and Cochrane Library databases. Randomized clinical studies reporting the pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum were evaluated.Results. Although many surgical options are available for the management of perineal wounds after cylindrical abdominoperineal extirpation of the rectum, treatment remains challenging. Primary perineal defect closure is a simple and economical way to close a wound; however it has a high rate of perineal wound complications with occurrence of perineal hernia. Although various options of myo- and alloplastic reconstruction have several advantages, they are more labor-and cost-intensive.Conclusion. There is a lack of randomized trials reporting the closure of the perineal defect after extralevator abdominoperineal extirpation of the rectum. There remains no consensus on which management strategy is superior; therefore, further studies are needed.https://www.siboncoj.ru/jour/article/view/1408colorectal cancerextralevator abdominoperineal excisionpelvic floor reconstruction |
| spellingShingle | V. S. Belyaev Y. A. Dykhno A. A. Nesytyh Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review Сибирский онкологический журнал colorectal cancer extralevator abdominoperineal excision pelvic floor reconstruction |
| title | Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review |
| title_full | Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review |
| title_fullStr | Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review |
| title_full_unstemmed | Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review |
| title_short | Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review |
| title_sort | pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum a literature review |
| topic | colorectal cancer extralevator abdominoperineal excision pelvic floor reconstruction |
| url | https://www.siboncoj.ru/jour/article/view/1408 |
| work_keys_str_mv | AT vsbelyaev pelvicfloorreconstructionafterextralevatorabdominoperinealexcisionoftherectumaliteraturereview AT yadykhno pelvicfloorreconstructionafterextralevatorabdominoperinealexcisionoftherectumaliteraturereview AT aanesytyh pelvicfloorreconstructionafterextralevatorabdominoperinealexcisionoftherectumaliteraturereview |