Perineal Hernia repair using bone fixation anchoring system for the mesh- video vignette.

Stamatiou, Dimitrios, Dakin, Andrew, Khalil, Haitham, Tiramula, Raju, Fernandes, Richard, Bowley, Douglas M and Karandikar, Sharad (2020) Perineal Hernia repair using bone fixation anchoring system for the mesh- video vignette. Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. ISSN 1463-1318. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://onlinelibrary.wiley.com/doi/abs/10.1111/co...

Abstract

The extralevator abdominoperineal excision (ELAPE) has been introduced to overcome the high rates of bowel perforation and positive circumferential resection margin (CRM) associated with traditional abdominoperineal resection (APR). The literature supports oncological superiority of ELAPE but acknowledges higher perineal wound morbidity. This includes perineal hernia, especially with neoadjuvant radiotherapy. The prophylactic use of biological mesh for repair of the perineal defect after ELAPE has been shown to significantly reduce perineal hernia rates compared with primary closure. Perineal hernia rate is reported at 3.4% even with the use of prophylactic biological mesh.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WE Musculoskeletal. Orthopaedics
WI Digestive system. Gastroenterology
WO Surgery
Divisions: Clinical Support
Planned IP Care > Gastroentrology
Planned IP Care > General Surgery
Planned IP Care > Plastic and Reconstructive Surgery
Planned IP Care > Trauma and Orthopaedics
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 16 Jul 2020 10:45
Last Modified: 16 Jul 2020 10:45
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3276

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