用于修复直肠癌腹会阴切除术后会阴疝的生物补片。
Biological mesh used to repair perineal hernias following abdominoperineal resection for anorectal cancer.
机构信息
Service de chirurgie oncologique, centre Oscar-Lambret, 3, rue Combemale, 59020 Lille cedex, France.
Service de chirurgie oncologique, centre Oscar-Lambret, 3, rue Combemale, 59020 Lille cedex, France.
出版信息
Ann Chir Plast Esthet. 2020 Jul;65(4):e15-e21. doi: 10.1016/j.anplas.2019.12.004. Epub 2020 Jun 6.
PURPOSE
This study aimed to determine the outcome for patients who had undergone perineal hernia repair, via a perineal approach, using a biological mesh post-abdominoperineal excision (APE) for anorectal cancer.
METHOD
All consecutive patients having undergone perineal hernia repair involving an extracellular matrix of porcine small intestinal submucosa at our hospital between 2015 and 2018 were included. Follow-up clinical examinations and computed tomography scans were performed.
RESULTS
Six patients were treated surgically for symptomatic perineal hernia after a median of 31 months from APE. The median follow-up after hernia repair was 11 months (interquartile range [IQR], 6-35 months). Three patients (50%) developed a recurrent perineal hernia after a median interval of 6 months.
CONCLUSION
Perineal hernia repair using a biological mesh resulted in a high recurrence rate in patients who had undergone APE for anorectal cancer.
目的
本研究旨在确定经会阴入路、使用生物补片（猪小肠黏膜下层）进行腹会阴联合切除（APE）治疗直肠肛门癌后行会阴疝修补术患者的结局。
方法
本研究纳入了 2015 年至 2018 年期间在我院行会阴疝修补术且涉及猪小肠黏膜下层细胞外基质的所有连续患者。对患者进行了随访临床检查和计算机断层扫描。
结果
APE 后中位时间 31 个月时，6 例患者因会阴疝出现症状而行手术治疗。疝修补术后中位随访时间为 11 个月（四分位距 [IQR]，6-35 个月）。3 例患者（50%）在中位时间 6 个月后复发会阴疝。
结论
APE 治疗直肠肛门癌后使用生物补片行会阴疝修补术患者的复发率较高。
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