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Techniques in Coloproctology
Published in: Techniques in Coloproctology 4/2011

01-12-2011 | Technical Note

Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis

Authors: C. Moreno-Sanz, M. Manzanera-Díaz, F. J. Cortina-Oliva, J. de Pedro-Conal, M. Clerveus, J. Picazo-Yeste

Published in: Techniques in Coloproctology | Issue 4/2011

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Abstract

Background

Abdominoperineal resection (APR) is not free of complications, in particular complications due to the occupation of the pelvis by the small bowel after surgery. A number of surgical techniques have been described to prevent the small bowel from entering and adhering to the pelvis (pelvic partition), but there is no agreement concerning their use. The aim of this study was to evaluate the feasibility, effectiveness and safety of using an absorbable synthetic prosthetic material for pelvic partitioning after APR.

Methods

A prospective non-randomised longitudinal pilot study was carried out on a series of 10 patients who underwent APR due to lower-third rectal cancer, in order to evaluate the feasibility, safety and efficacy of pelvic partitioning with an absorbable synthetic prosthetic material.

Results

In all the patients, it was possible to perform a radical resection and to install the prosthesis. After a mean follow-up of 9 months (range: 4–18 months), no abdominal or perineal complications were detected. One patient (10%) suffered chronic pelvic pain.

Conclusions

Pelvic partition after APR of the rectum with an absorbable synthetic prosthesis is feasible, effective and safe.
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Metadata
Title
Pelvic reconstruction after abdominoperineal resection: a pilot study using an absorbable synthetic prosthesis
Authors
C. Moreno-Sanz
M. Manzanera-Díaz
F. J. Cortina-Oliva
J. de Pedro-Conal
M. Clerveus
J. Picazo-Yeste
Publication date
01-12-2011
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 4/2011
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-011-0763-8

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