Myocutaneous transpelvic flaps do improve quality of life and help to reduce wound healing complications in patients receiving abdominoperineal resection in the real world
- 114 Downloads
With great interest, we read the article of T Curran et al. on “Real world dehiscence rates for patients undergoing abdominoperineal resection with or without myocutaneous flap closure in the national surgical quality improvement project” in the International Journal of Colorectal Disease. The authors need to be congratulated for bringing up an issue in treating rectal carcinomas that has been subject to controversial discussion.
They claim that this would be the first paper with a high number of patients including a significant number of them receiving some sort of “flap” during the surgical procedure of abdominoperineal resection (APR) in the “real world”.
However, some aspects need to be discussed as the data presented here need some more interpretation to serve as a universal guide to choose the best surgical approach in APR. Although utilizing a national data registry offers a large patient cohort, it also suffers from the naturally considerable inconsistency of the...
KeywordsAbdominoperineal Resection Wound Dehiscence Perineal Wound Anal Carcinoma Wound Healing Complication