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Open Access 01-12-2022 | Rectal Cancer | Research

Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer

Authors: Tatsuya Manabe, Yusuke Mizuuchi, Yasuhiro Tsuru, Hiroshi Kitagawa, Takaaki Fujimoto, Yasuo Koga, Masafumi Nakamura, Hirokazu Noshiro

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

In contrast to open-surgery abdominoperineal excision (APE) for rectal cancer, postoperative perineal hernia (PPH) is reported to increase after extralevator APE and endoscopic surgery. In this study, therefore, we aimed to determine the risk factors for PPH after endoscopic APE.

Methods

A total 73 patients who underwent endoscopic APE for rectal cancer were collected from January 2009 to March 2020, and the risk factors for PPH were analyzed retrospectively.

Results

Nineteen patients (26%) developed PPH after endoscopic APE, and the diagnosis of PPH was made at 9–393 days (median: 183 days) after initial surgery. Logistic regression analysis showed that absence of pelvic peritoneal closure alone increased the incidence of PPH significantly (odds ratio; 13.76, 95% confidence interval; 1.48–1884.84, p = 0.004).

Conclusions

This preliminary study showed that pelvic peritoneal closure could prevent PPH after endoscopic APE.

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Title: Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer
Authors: Tatsuya Manabe
Yusuke Mizuuchi
Yasuhiro Tsuru
Hiroshi Kitagawa
Takaaki Fujimoto
Yasuo Koga
Masafumi Nakamura
Hirokazu Noshiro
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Rectal Cancer
Rectal Cancer
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01538-7

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Springer Medicine

Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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