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Published in: International Journal of Colorectal Disease 3/2009

01-03-2009 | Original Article

Reconstruction of the pelvic floor with a biological mesh after abdominoperineal excision for rectal cancer

Authors: Peer Wille-Jørgensen, Bo Pilsgaard, Peter Møller

Published in: International Journal of Colorectal Disease | Issue 3/2009

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Abstract

Aim

The aim of the study is to describe the results of reconstruction of the pelvic floor by using an absorbable biological mesh after having performed an abdomino-perineal resection with excision of whole of the pelvic floor for rectal cancer

Material and methods

Eleven consecutive patients had reconstruction of the pelvic floor after abdominoperineal excision (APR) with a biological mesh. The peri- and postoperative courses were registered in a prospective database. Six patients received preoperative radiochemotherapy.

Results

One patient had the mesh removed due to infection and later developed local recurrence. The rest had an uneventful postoperative course despite more pain than is usually experienced in the perineal wound after traditional APR.

Conclusion

The use of a biological mesh for pelvic floor reconstruction is feasible with satisfactory results. A randomised trial is warranted in order to evaluate this technique properly
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Metadata
Title
Reconstruction of the pelvic floor with a biological mesh after abdominoperineal excision for rectal cancer
Authors
Peer Wille-Jørgensen
Bo Pilsgaard
Peter Møller
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 3/2009
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-008-0607-9

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