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Techniques in Coloproctology
Published in: Techniques in Coloproctology 7/2015

01-07-2015 | Trick of the Trade

Sinoscopy: endoscopic washout of perineal sinus after abdominoperineal excision of the rectum

Authors: M. Al-sheikh, T. Cuming, N. Ashraf, C. Hepworth

Published in: Techniques in Coloproctology | Issue 7/2015

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Excerpt

A perineal sinus, a blind-ending tract opening onto the perineum, is a recognized complication of excisional perineal surgery [1]. Excisional surgery leaves a dead space within the pelvis which discharges through the perineal wound, creating a tract. It is defined as persistent if it remains unhealed 6 months after surgery [1, 2]. A perineal sinus occurs in 3–29 % of patients following abdominoperineal excision of the rectum and in 11–69 % of patients undergoing proctectomy for inflammatory bowel disease as well as after ileoanal pouch excision [2]. …
Literature
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Watts JM, de Dombal FT, Goligher JC (1966) Long-term complications and prognosis following major surgery for ulcerative colitis. Br J Surg 53:1014–1023PubMedCrossRef
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Lohsiriwat V (2009) Persistent perineal sinus: incidence, pathogenesis, risk factors, and management. Surg Today 39:189–193PubMedCrossRef
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Fingerhut A, Hay JM, Delalande JP, Paquet JC (1995) Passive vs. closed suction drainage after perineal wound closure following abdominoperineal rectal excision for carcinoma. A multicenter, controlled trial. The French Association for Surgical Research. Dis Colon Rectum 38:926–932PubMedCrossRef
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Branagan G, Thompson MR, Senapati A (2006) Cleft closure for the treatment of unhealed perineal sinus. Colorectal Dis 8:314–317PubMedCrossRef
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Menon A, Clark MA, Shatari T, Keh C, Keighley MR (2005) Pedicled flaps in the treatment of nonhealing perineal wounds. Colorectal Dis 7:441–444PubMedCrossRef
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Yousaf M, Witherow A, Gardiner KR, Gilliland R (2004) Use of vacuum-assisted closure for healing of a persistent perineal sinus following panproctocolectomy: report of a case. Dis Colon Rectum 47:1403–1407PubMedCrossRef
Metadata
Title
Sinoscopy: endoscopic washout of perineal sinus after abdominoperineal excision of the rectum
Authors
M. Al-sheikh
T. Cuming
N. Ashraf
C. Hepworth
Publication date
01-07-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 7/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1313-6

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