BACKGROUND:Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded polytetrafluoroethylene (ePTFE) GORE-TEX Dual Mesh (WLGore And Associates, Flagstuff, USA) in abdominoperineal resection. METHODS:Sixty patients who underwentabdominoperineal resection for rectal cancer were assigned to 2 groups. The pelvic peritoneum was closed by routine sutures in group 1 and reconstructed with ePTFE in group 2. Postoperative complications and related items were evaluated and the patients were followed up. RESULTS:Time of confining to bed, bowel function recovery, fasting, and detaining drainage were significantly different between two groups (P < 0.05). In group 1, three patients developed bowel obstruction (10%), while no bowel obstruction was observed in group 2. CONCLUSION: Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.
RCT Entities:
BACKGROUND: Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded polytetrafluoroethylene (ePTFE) GORE-TEX Dual Mesh (WLGore And Associates, Flagstuff, USA) in abdominoperineal resection. METHODS: Sixty patients who underwent abdominoperineal resection for rectal cancer were assigned to 2 groups. The pelvic peritoneum was closed by routine sutures in group 1 and reconstructed with ePTFE in group 2. Postoperative complications and related items were evaluated and the patients were followed up. RESULTS: Time of confining to bed, bowel function recovery, fasting, and detaining drainage were significantly different between two groups (P < 0.05). In group 1, three patients developed bowel obstruction (10%), while no bowel obstruction was observed in group 2. CONCLUSION: Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.
Authors: C Moreno-Sanz; M Manzanera-Díaz; F J Cortina-Oliva; J de Pedro-Conal; M Clerveus; J Picazo-Yeste Journal: Tech Coloproctol Date: 2011-09-29 Impact factor: 3.781
Authors: Markéta Bocková; Aleksei Pashchenko; Simona Stuchlíková; Hana Kalábová; Radek Divín; Petr Novotný; Andrea Kestlerová; Karel Jelen; Petr Kubový; Peter Firment; Ján Fedačko; Taťána Jarošíková; Jiří Rulc; Jozef Rosina; Alois Nečas; Evžen Amler; Jiří Hoch Journal: Gels Date: 2022-03-04