Journal
DISEASES OF THE COLON & RECTUM
Volume 48, Issue 1, Pages 43-48Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1007/s10350-004-0855-x
Keywords
abdominoperineal resection; colorectal surgery; postoperative complications; wound complications; perineum
Categories
Ask authors/readers for more resources
PURPOSE: Perineal wound complications are common following abdominoperineal resection. This study investigates the factors contributing to these complications. METHODS: Patients undergoing abdominoperineal resection at our institution from June 1997 to May 2003 were reviewed. Significant predictors associated with minor (separation < 2 cm, stitch abscesses, or sinus tracts) or major (> 2 cm of separation, reoperation required, or readmission) wound complications were ascertained. RESULTS: Of 153 patients, there were 22 major (14 percent) and 32 minor (24 percent) wound complications. Patients with anal cancer had a higher rate of major complications than those with rectal cancer or inflammatory bowel disease. Minor wound complications were more common in patients with anal cancer and inflammatory bowel disease than those with rectal cancer. Factors associated with a higher rate of major wound complications included flap closure, tumor size, body mass index, diabetes, and indication for the procedure. When the subset of patients with rectal cancer was considered, higher rates of major wounds were associated with increased body mass index, diabetes, and stage. Minor complications were associated with a two-team approach and increasing body mass index. CONCLUSIONS: This is currently the largest review of perineal wound complications following abdominoperineal resection. Patients with anal cancer and inflammatory bowel disease were at higher risk for perineal wound complications than those with rectal cancer. Preoperative radiation and primary closure were not associated with increased complications following abdominoperineal resection for rectal cancer.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available