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01-05-2019 | Technical Advances

Robotic-assisted repair of perineal hernia after extralevator abdominoperineal resection

Authors: J. Maurissen, M. Schoneveld, E. Van Eetvelde, M. Allaeys

Published in: Techniques in Coloproctology | Issue 5/2019

Excerpt

Perineal hernia is considered to be a rare complication after abdominoperineal resection (APR). However, its true incidence may be higher because of under-reporting. Moreover, there has been a recent change in technique from conventional to extralevator APR (eAPR) for oncological reasons. As the eAPR procedure creates a much wider perineal defect, a significant increase in incidence can be expected in the future. Recent reports show an incidence of 26% after eAPR [1]. …

Sayers AE, Patel RK, Hunter IA (2015) Perineal hernia formation following extralevator abdominoperineal excision. Colorectal Dis 17(4):351–355. https://doi.org/10.1111/codi.12843 CrossRefPubMed

West NP, Anderin C, Smith KJ, Holm T, Quirke P, European Extralevator Abdominoperineal Excision Study Group (2010) Multicentre experience with extralevator abdominoperineal excision for low rectal cancer. Br J Surg Apr 97(4):588–599. https://doi.org/10.1002/bjs.6916 CrossRefPubMed

Mjoli M, Sloothaak DA, Buskens CJ, Bemelman WA, Tanis PJ (2012) Perineal hernia repair after abdominoperineal resection: a pooled analysis. Colorectal Dis 14(7):e400–e406. https://doi.org/10.1111/j.1463-1318.2012.02970.x CrossRefPubMed

Balla A, Batista Rodríguez G, Buonomo N et al (2017) Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature. Tech Coloproctol 21:329–336. https://doi.org/10.1007/s10151-017-1634-8 CrossRefPubMed

Musters GD, Klaver CEL, Bosker RJI et al (2017) Biological mesh closure of the pelvic floor after extralevator abdominoperineal resection for rectal cancer: a multicenter randomized controlled trial (the BIOPEX-study). Ann Surg 265(6):1074–1081. https://doi.org/10.1097/SLA.0000000000002020 CrossRefPubMed

Title: Robotic-assisted repair of perineal hernia after extralevator abdominoperineal resection
Authors: J. Maurissen
M. Schoneveld
E. Van Eetvelde
M. Allaeys
Publication date: 01-05-2019
Publisher: Springer International Publishing
Published in: Techniques in Coloproctology / Issue 5/2019
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-019-01969-0

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