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[Primary interdisciplinary reconstruction of perineal defects to reduce wound complications after abdominoperineal resection].

Authors
  • Mohr, Z
  • Palmer, B
  • Zender, F-J
  • Willis, S
  • Lehnhardt, M
  • Daigeler, A
  • Kremer, T
  • Hirche, C
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Dec 01, 2014
Volume
139 Suppl 2
Identifiers
DOI: 10.1055/s-0032-1315236
PMID: 23460109
Source
Medline
License
Unknown

Abstract

A primary perineal reconstruction after APRE can reduce the rate of perineal wound complications. Furthermore, neoadjuvant treatment was shown to carry a major risk for wound complications. Patients after radio-/chemotherapy should undergo a primary reconstruction to prevent procedure-related perioperative morbidity. Subsequently, delays in adjuvant therapy, and prolonged hospital stay can be inhibited. Moreover, quality of life can be increased. The interdisciplinary approach aims at identifying high-risk patients for perineal wound complications who may benefit from primary reconstruction in order to reduce rate of wound complications with potential impact on rate of local recurrence. All these measures contribute to an optimized surgical standard.

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