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Prospective study of reconstructing pelvic floor with gore-tex dual mesh in abdominoperineal resection

Chinese Medical Journal 2009年第18期122卷 2138-2141页

作者： CUI Ji MA Jin-ping XIANG Jun LUO Yan-xin CAI Shi-rong HUANG Yi-hua WANG Jian-ping HE Yu-long Department of Colonic and Rectal Surgery First Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510080 China Department of Colonic and Rectal Surgery Sixth Affiliated Hospital Sun Yat-sen University Guangzhou Guangdong 510655 China

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 abdominopedneal 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. Conclusion Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.

关键词： reconstruction, pelvic floor gore-tex dual mesh abdominoperineal resection rectal cancer

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