ABSORBABLE MESH PLACEMENT FOR PELVIC FLOOR CLOSURE AFTER EXTRALEVATOR ABDOMINOPERINEAL EXCISION FOR ANAL CANCER UNRESPONSIVE TO CHEMORADIOTHERAPY
EAES Academy. Marino F. 07/05/22; 366528; P271
CLICK HERE TO LOGIN
REGULAR CONTENT
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
Aim
Closure of large defects in the pelvic floor after extralevator abdominoperineal excision (ELAPE) can be challenging. Direct primary closure is associated with high grade of wound break down especially in patients submitted to neoadjuvant radiotherapy. Other options for primary closure are myocutaneous flaps but they require a specific surgeon skill and the use of biological meshes that are very expensive.
Methods
We report a case of a 72-yr-old man with anal squamous cell carcinoma unresponsive to standard chemoradiotherapy who was submitted to ELAPE. The large pelvic defect was closed using a Vicryl® mesh and it was filled by omental pedicle flap transposition. Finally, negative pressure therapy was used to promote perineal wound healing.
Result
The postoperative course was uneventful, and he was discharge in 7th postoperative day. No perineal hernia or perineal surgical site infection occurred. The patient underwent weekly outpatient dressings and complete perineal wound recovery occurred after 6 months.
Conclusions
Absorbable mesh placement should be considered as an effective and safe option to prevent complications and enhanced pelvic floor closure after ELAPE.
Closure of large defects in the pelvic floor after extralevator abdominoperineal excision (ELAPE) can be challenging. Direct primary closure is associated with high grade of wound break down especially in patients submitted to neoadjuvant radiotherapy. Other options for primary closure are myocutaneous flaps but they require a specific surgeon skill and the use of biological meshes that are very expensive.
Methods
We report a case of a 72-yr-old man with anal squamous cell carcinoma unresponsive to standard chemoradiotherapy who was submitted to ELAPE. The large pelvic defect was closed using a Vicryl® mesh and it was filled by omental pedicle flap transposition. Finally, negative pressure therapy was used to promote perineal wound healing.
Result
The postoperative course was uneventful, and he was discharge in 7th postoperative day. No perineal hernia or perineal surgical site infection occurred. The patient underwent weekly outpatient dressings and complete perineal wound recovery occurred after 6 months.
Conclusions
Absorbable mesh placement should be considered as an effective and safe option to prevent complications and enhanced pelvic floor closure after ELAPE.
Aim
Closure of large defects in the pelvic floor after extralevator abdominoperineal excision (ELAPE) can be challenging. Direct primary closure is associated with high grade of wound break down especially in patients submitted to neoadjuvant radiotherapy. Other options for primary closure are myocutaneous flaps but they require a specific surgeon skill and the use of biological meshes that are very expensive.
Methods
We report a case of a 72-yr-old man with anal squamous cell carcinoma unresponsive to standard chemoradiotherapy who was submitted to ELAPE. The large pelvic defect was closed using a Vicryl® mesh and it was filled by omental pedicle flap transposition. Finally, negative pressure therapy was used to promote perineal wound healing.
Result
The postoperative course was uneventful, and he was discharge in 7th postoperative day. No perineal hernia or perineal surgical site infection occurred. The patient underwent weekly outpatient dressings and complete perineal wound recovery occurred after 6 months.
Conclusions
Absorbable mesh placement should be considered as an effective and safe option to prevent complications and enhanced pelvic floor closure after ELAPE.
Closure of large defects in the pelvic floor after extralevator abdominoperineal excision (ELAPE) can be challenging. Direct primary closure is associated with high grade of wound break down especially in patients submitted to neoadjuvant radiotherapy. Other options for primary closure are myocutaneous flaps but they require a specific surgeon skill and the use of biological meshes that are very expensive.
Methods
We report a case of a 72-yr-old man with anal squamous cell carcinoma unresponsive to standard chemoradiotherapy who was submitted to ELAPE. The large pelvic defect was closed using a Vicryl® mesh and it was filled by omental pedicle flap transposition. Finally, negative pressure therapy was used to promote perineal wound healing.
Result
The postoperative course was uneventful, and he was discharge in 7th postoperative day. No perineal hernia or perineal surgical site infection occurred. The patient underwent weekly outpatient dressings and complete perineal wound recovery occurred after 6 months.
Conclusions
Absorbable mesh placement should be considered as an effective and safe option to prevent complications and enhanced pelvic floor closure after ELAPE.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}