Biologicalmeshreconstructionofthepelvicfloorfollowingabdominoperinealexcisionforcancer:Areview

摘要： Extralevatorabdominoperinealexcisionandpelvicexenterationaremutilatingoperationsthatleavewideperinealwounds.Suchlargewoundsarepronetoinfectionandperinealherniation,andtheirclosureisamajorconcerntomostsurgeons.Differentapproachestotheperinealrepairexist,varyingfromprimaryormeshclosuretomyocutaneousflaps.Eachtechniquehasitsownassociatedadvantagesandpotentialcomplicationsandtheidealapproachisstilldebated.Inthepresentstudy,wereviewedthecurrentliteratureandourownlocaldataregardingtheuseofbiologicalmeshforperinealwoundclosure.Currentevidencesuggeststhattheuseofbiologicalmeshcarriesanacceptableriskofwoundcomplicationscomparedtoprimaryclosureandissimilartoflapreconstruction.Inaddition,therateofperinealherniaislowerinearlyfollow-up,whilelong-termherniaoccurrenceappearstobesimilarbetweenthedifferenttechniques.Finally,itisaneasyandquickreconstructionmethod.Althoughmoreexpensivethanprimaryclosure,thecostassociatedwiththeuseofabiologicalmeshisatleastequal,ifnotless,thanflapreconstruction. ... （共6页）