title: Technique for packing the perineal wound after a wide perineal dissection for adenocarcinoma of the rectum.
abstract: A technique for packing the perineal wound after a wide perineal dissection performed as part of an abdominoperineal resection is described. An isolation bag is filled with rolled gauze and positioned in the pelvis beneath the sacral promontory. The packing and the bag are removed on the fifth postoperative day. This technique is safe and more tolerable to patients with an open perineal wound after an abdominoperineal resection.
authors.affiliation: Department of Surgical Oncology and Endoscopy, Roswell Park Cancer Institute, Buffalo, New York 14263-0001.
authors.forename: M A
authors.initials: MA
authors.lastname: Rodriguez-Bigas
authors.forename: N J
authors.initials: NJ
authors.lastname: Petrelli
authors.forename: J
authors.initials: J
authors.lastname: McKeating
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D001458:Bandages / Q000592:standards*; D003125:Colostomy; D004210:Dissection; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D010502:Perineum / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D014945:Wound Healing