Van Damme J P, Timmermans T
Acta Chir Belg. 1980 Sep-Oct;79(5):327-32.
This is a prospective study of primary closure of the perineum in 35 successive cases of abdomino-perineal amputation of the rectum for adenocarcinoma (January 1972 - December 1978). All operations are performed by the same surgeon in a one-team approach. In 33 patients the perineum is closed, and 32 patients are available for evaluation. In 66% of them the wound heals per primam. Very extensive and exenterative procedures do not lower the chances for success. In women the results are better than in men. They are even better after posterior vaginal wall resection and posterior exeneration (no failures). Early postoperative failures are usually due to bleeding; the late ones are caused by infection. The procedure is complicated by one death (81 years), one ureteral fistula (47 years) and one late perineal hernia which may be imputed to the method. Primary closure of the perineum appears to be a very feasible (33/35), usefull and rather safe procedure from which the patient has a lot to win and quite nothing to loose.
这是一项对35例连续因腺癌行直肠腹会阴联合切除术患者（1972年1月至1978年12月）进行会阴一期缝合的前瞻性研究。所有手术均由同一位外科医生以单组方式进行。33例患者会阴得以缝合，32例患者可供评估。其中66%的患者伤口一期愈合。非常广泛的根治性手术并不降低成功几率。女性患者的结果优于男性。在切除阴道后壁及进行后盆腔脏器清除术后效果更佳（无失败病例）。术后早期失败通常是由于出血；晚期失败则由感染所致。该手术出现1例死亡（81岁）、1例输尿管瘘（47岁）以及1例晚期会阴疝，后者可能归咎于手术方法。会阴一期缝合似乎是一种非常可行（33/35）、有用且相当安全的手术，患者从中获益良多且几乎没有损失。
