title: High-vacuum drainage and primary perineal wound closure in abdominoperineal excision of the rectum.
abstract: The result of perineal wound healing after rectal excision with primary perineal closure by high-vacuum drainage was studied prospectively. High vacuum drainage was performed via a wide-bore catheter (Ch. 27) placed through a stabwound on the thigh. The method was applied in 114 of 127 patients who had abdominoperineal excision of the rectum (89.7 per cent). Contra-indications were inadequate haemostasis and pre-existing massive perineal sepsis. Primary perineal wound closure was present in 85.9 per cent of patients, delayed healing in 12.3 per cent and a perineal sinus developed in two patients (1.8 per cent).
authors.affiliation: Department of Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.
authors.forename: W H
authors.initials: WH
authors.lastname: Brummelkamp
authors.forename: C W
authors.initials: CW
authors.lastname: Taat
authors.forename: J F
authors.initials: JF
authors.lastname: Slors
mesh_terms: D000368:Aged; D001005:Anus Neoplasms / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology