Prospective study of reconstructing pelvic floor with GORE-TEX Dual Mesh in abdominoperineal resection.
BACKGROUND
Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded polytetrafluoroethylene (ePTFE) GORE-TEX Dual Mesh (WLGore And Associates, Flagstuff, USA) in abdominoperineal resection.


METHODS
Sixty patients who underwent abdominoperineal resection for rectal cancer were assigned to 2 groups. The pelvic peritoneum was closed by routine sutures in group 1 and reconstructed with ePTFE in group 2. Postoperative complications and related items were evaluated and the patients were followed up.


RESULTS
Time of confining to bed, bowel function recovery, fasting, and detaining drainage were significantly different between two groups (P < 0.05). In group 1, three patients developed bowel obstruction (10%), while no bowel obstruction was observed in group 2.


CONCLUSIONS
Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.
Department of Colonic and Rectal Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
Ji
J
Cui
Jin-ping
JP
Ma
Jun
J
Xiang
Yan-xin
YX
Luo
Shi-rong
SR
Cai
Yi-hua
YH
Huang
Jian-ping
JP
Wang
Yu-long
YL
He
D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery*; D011138:Polytetrafluoroethylene / Q000737:chemistry*; D011183:Postoperative Complications; D011446:Prospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene