Management of Perineal Wound Post Rectal Amputation

Abstract

Abdominoperineal resection (APR) involves excision of the distal sigmoid colon and rectum along with mesorectum, peri-rectal fat and lymph tissue and the anal sphincter complex. The most frequent indication leading to amputation of the rectum is adenocarcinoma of the inferior and middle rectum. After APR results the perineal wound presents evolution peculiarities. In efforts of finding an optimal perineal plague approach, more management methods were proposed. In this article the authors present their experience on mesh rectal lodge along with a review of other reported data in the literature.