Reconstrucci贸n p茅lvica tras amputaci贸n abdominoperineal del recto

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• 作者：Carlos Moreno-Sanzp> ; p>p>cmsurgery@hotmail.comp> ; Marina Manzanera-Dí ; az ; Mikael Clerveus ; F. Javier Cortina-Oliva ; Juliá ; n de Pedro-Conal ; Joaquí ; n Picazo-Yeste
• 关键词：Resecció ; n abdominoperineal ; Cá ; ncer de recto ; Pelvis ; Suelo p&eacute ; lvico ; Perin&eacute ; Reconstrucció ; n
• 刊名：Cirug铆a Espa帽ola
• 出版年：2011
• 期刊代码：pca87_0009739X
• 类别：med
• 出版时间：February 2011
• 卷：89
• 期：2
• 页码：77-81
• 文件大小：242 K

摘要

<p>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.<p>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.<p>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.