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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2018

Open Access 01-12-2018 | ASO Author Reflections

ASO Author Reflections: Omentoplasty to Improve Perineal Wound Healing After Abdominoperineal Resection

Authors: Robin D. Blok, MD, Pieter J. Tanis, MD, PhD

Published in: Annals of Surgical Oncology | Special Issue 3/2018

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Excerpt

Abdominoperineal resection (APR) for rectal cancer often is complicated by perineal wound problems.1 Some surgeons advocate an omentoplasty to obliterate the pelvic dead space and prevent the small bowel from descending into the pelvis.2,3 Despite the fact that globally many surgeons routinely construct omentoplasty as part of the APR, only a few small studies support the putative clinical benefits.4 This study aimed to evaluate whether omentoplasty reduces early and late perineal complications for patients treated by APR for rectal cancer in a nationwide setting. …
Literature
1.
Musters GD, Klaver CEL, Bosker RJI, et al. Biological mesh closure of the pelvic floor after extralevator abdominoperineal resection for rectal cancer: a multicenter randomized controlled trial (the BIOPEX-study). Ann Surg. 2017;265:1074–81.CrossRefPubMed
2.
Hultman CS, Sherrill MA, Halvorson EG, et al. Utility of the omentum in pelvic floor reconstruction following resection of anorectal malignancy: patient selection, technical caveats, and clinical outcomes. Ann Plast Surg. 2010;64:559–62.PubMed
3.
Oida T, Kawasaki A, Mimatsu K, et al. Omental packing with continuous suction drainage following abdominoperineal resection. Hepatogastroenterology. 2012;59:380–3.PubMed
4.
Killeen S, Devaney A, Mannion M, Martin ST, Winter DC. Omental pedicle flaps following proctectomy: a systematic review. Colorectal Dis. 2013;15:e634–45.CrossRefPubMed
5.
Metadata
Title
ASO Author Reflections: Omentoplasty to Improve Perineal Wound Healing After Abdominoperineal Resection
Authors
Robin D. Blok, MD
Pieter J. Tanis, MD, PhD
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2018
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-6799-5

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