Reconstruction of the pelvic floor with a biological mesh after abdominoperineal excision for rectal cancer.
OBJECTIVE
The aim of the study is to describe the results of reconstruction of the pelvic floor by using an absorbable biological mesh after having performed an abdomino-perineal resection with excision of whole of the pelvic floor for rectal cancer


METHODS
Eleven consecutive patients had reconstruction of the pelvic floor after abdominoperineal excision (APR) with a biological mesh. The peri- and postoperative courses were registered in a prospective database. Six patients received preoperative radiochemotherapy.


RESULTS
One patient had the mesh removed due to infection and later developed local recurrence. The rest had an uneventful postoperative course despite more pain than is usually experienced in the perineal wound after traditional APR.


CONCLUSIONS
The use of a biological mesh for pelvic floor reconstruction is feasible with satisfactory results. A randomised trial is warranted in order to evaluate this technique properly.
Wille-Jørgensen
Peer
P
Department of Surgery K, Bispebjerg Hospital, Faculty of Health Sciences, University of Copenhagen, DK-2400 Copenhagen, NV, Denmark. pwj01@bbh.regionh.dk
Pilsgaard
Bo
B
Møller
Peter
P
D000005:Abdomen / Q000601:surgery*; D000368:Aged; D003094:Collagen; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012004:Rectal Neoplasms / Q000601:surgery*; D013526:Surgical Mesh
C422414:Permacol; D003094:Collagen