Abstract
From retrospective study of the case records of 102 patients who underwent rectal excision for malignant or inflammatory bowel disease, it was found that management with closed perineum and open pelvic peritoneum with closed hemovac drainage results in the best healing of the perimeum in these patients.
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References
Altemeier WA, Culbertson WR, Alexander JW, Sutorius D, Bossert J. Primary closure of the perineal wound in abdominoperineal resection of the rectum for carcinoma. Am J Surg 1974;127:215–9.
Broader JH, Masselink BA, Oates GD, Alexander-Williams J. Management of the pelvic space after proctectomy. Br J Surg 1974;61:94–7.
Irvin TT, Goligher JC. A controlled clinical trial of three different methods of perineal wound management following excision of the rectum. Br J Surg 1975;62:287–91.
Marks CG, Leighton M, Ritchie JK, Hawley PR. Primary suture of the perineal wound following rectal excision for adenocarcinoma. Br J Surg 1976;63:322–6.
McLachlin AD, MacKenzie DA. Combined abdominoperineal excision for cancer of the rectum: primary suture of the perineal incision with continuous suction. Can J Surg 1970;13:350–3.
Oates GD, Alexander Williams J. Primary closure of the perineal wound in excision of the rectum. Proc R Soc Med 1970; suppl 63:128.
Saha SK, Robinson AF. A study of perineal wound healing after abdominoperineal resection. Br J Surg 1976;63:555–8.
Terranova O, Sandei F, Rebuffat C, Maruotti R, Pezzuoli G. Management of the perineal wound after rectal excision for neoplastic disease: a controlled clinical trial. Dis Colon Rectum 1979;22:228–33.
Harshaw DH Jr, Gardner B, Vives A, Sundaram KN. The effect of technical factors upon complications from abdominal perineal resections. Surg Gynecol Obstet 1974; 139:756–8.
Warshaw AL, Ottinger LW, Bartlett MK. Primary perineal dosure after proctocolectomy for inflammatory bowel disease: Prevention of the persistent perineal sinus. Am J Surg 1977;133:414–9.
Buckman RF Jr, Buckman PD, Hufnagel HV, Gervin AS. A physiologic basis for the adhesion-free healing of deperitonealized surfaces. J Surg Res 1976;21:67–76.
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Read at the meeting of the American Society of Colon and Rectal Surgeons, Hollywood, Florida, May 11 to 16, 1980.
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Alpsan, K., Singh, A. & Ahmad, A. Clinical comparison of perineal wound management. Dis Colon Rectum 23, 564–566 (1980). https://doi.org/10.1007/BF02988997
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DOI: https://doi.org/10.1007/BF02988997