title: [Pelvic reconstruction after abdominoperineal resection of the rectum].
abstract: Despite the advances in the treatment of cancer of the rectum and the expansion of the multimodal therapeutic technique, abdominoperineal resection (APR) still needs to be performed as radical treatment in 20-30% of cases. APR of the rectum involves a significant morbidity, including intestinal obstruction and wound complications, with radiotherapy-induced enteritis being able to develop in 15% of cases subjected to post-operative radiotherapy. Furthermore, with the aim of improving local oncology results, an extended APR is recommended; a technique that requires a perineal reconstruction technique that allows a tension free closure in a previously radiated tissue and may prevent perineal hernias developing. The objective of this article is to review pelvic and perineal repair methods after APR due to cancer, with special attention to the new prosthetic repair techniques.
authors.affiliation: Servicio de Cirugía, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, España. cmsurgery@hotmail.com
authors.forename: Carlos
authors.initials: C
authors.lastname: Moreno-Sanz
authors.forename: Marina
authors.initials: M
authors.lastname: Manzanera-Díaz
authors.forename: Mikael
authors.initials: M
authors.lastname: Clerveus
authors.forename: F Javier
authors.initials: FJ
authors.lastname: Cortina-Oliva
authors.forename: Julián
authors.initials: J
authors.lastname: de Pedro-Conal
authors.forename: Joaquín
authors.initials: J
authors.lastname: Picazo-Yeste
mesh_terms: D000005:Abdomen / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D010537:Peritoneum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*