Wall defects after abdominoperineal resection: A modified tension-free technique

Alberto Vannelli, Luigi Battaglia, Mario Rampa, Paolo Boati, Antonella Putortì, Daniela Pelleriti, Fabienne Fedele, Ermanno Leo

Research output: Contribution to journalArticlepeer-review

Abstract

Background. The treatment of wall defects after abdominoperineal resection has yet to be defined. In this study we report the outcome of amodified prosthetic technique for the treatment of combined large incisional and parastomal hernia performed after abdominoperineal resection. Material and methods. Between January 2005 and July 2008, 21 consecutive patients who underwent abdominoperineal resection for low rectal cancer received surgical repair for large incisional hernias with amodifiedmesh technique consisting of a tension-free attachment of the prosthetic material to the posterior sheath of the rectus abdominis muscle. The surgical outcome was assessed mainly as the recurrence rate of abdominal hernia and postoperative complications. Results. Among the 21 patients we reported two minor complications: partial necrosis of the skin flap (4.8%) and a seroma (4.8%). Onemajor complication occurred: extensive necrosis of the skin flap (4.8%). We reported one death due to stroke 20 days after surgery. The mean postoperative hospital stay was 6.1 days (SD, 2.3). Conclusions. This study encourages the use of a tension-free modified prosthetic technique for the repair of combined wall defects after abdominoperineal resection. The technique does not lead to an increase in the incidence of complications, offering a considerable advantage to the patient.

Original languageEnglish
Pages (from-to)323-327
Number of pages5
JournalTumori
Volume97
Issue number3
DOIs
Publication statusPublished - May 2011

Keywords

  • Mesh
  • Parastomal hernia
  • Rectal cancer
  • Tension-free technique
  • Ventral hernia

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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