Repair of Perineal Hernia Following Abdominoperineal Excision with Biological Mesh: A Systematic Review

Frontiers in Surgery

Sunil K. Narang¹ 

关键词: perineal hernia;    abdominoperineal excision;    biologic mesh;    biosynthetic mesh;   

DOI  :  10.3389/fsurg.2016.00049

学科分类：外科医学

来源: Frontiers

【 摘 要 】

IntroductionPerineal hernia (PerH) following abdominoperineal excision (APE) procedure is a recognized complication. PerH was considered an infrequent complication of APE procedure; however, PerH rates of up to 45% have been reported in recent publications following a laparoscopic APE procedure. Various methods of repair of PerH with the use of synthetic meshes or myocutaneous flap have been described, although there is no general agreement on an optimal strategy. The use of biological meshes for different operations is growing in popularity, and these have been promoted as being superior and safer when compared to synthetic meshes. Although the use of biologics is becoming popular claims of better outcomes are largely unsupported by evidence. The aim of this systematic review is to evaluate the currently available evidence supporting the use of biologic or biosynthetic meshes for the repair of PerH that develop following an APE.

【 授权许可】

CC BY