Annals of plastic surgery · 2013
Perineal wound complications, risk factors, and outcome after abdominoperineal resections.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Choudry Umar, Harris Don
Аннотация
BACKGROUND: We describe the risk factors for complications and outcome of perineal wounds after abdominoperineal resections (APRs).
METHODS: A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected.
RESULTS: There were 87 APRs performed during an 8-year period. The mean follow-up period was 2.0 years (range, 18 days to 7.8 y). The mean body mass index (BMI) of the cohort was 27.8 kg/m (range, 16.8-47.5 kg/m). Of these patients, 36 (41%) have normal weight (BMI < 25 kg/m) and 51 (59%) were overweight (BMI > 25 kg/m). Direct closure of the perineum was performed in 67 patients (77%). Twenty patients (23%) had musculocutaneous flap closures of the perineum. Fifty-seven patients (66%) had radiation exposure to the perineal region. Nineteen patients (22%) had complications of the perineal wound. We found that direct closure of the perineum in patients who were overweight (P < 0.05), active smokers (P < 0.05), or had chronic obstructive pulmonary disease (P < 0.01) was associated with higher wound complications.
CONCLUSIONS: The use of musculocutaneous flap closures of the perineum after APRs in patients who are overweight (BMI > 25 kg/m), are smokers, or have chronic obstructive pulmonary disease may decrease wound complications.
METHODS: A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected.
RESULTS: There were 87 APRs performed during an 8-year period. The mean follow-up period was 2.0 years (range, 18 days to 7.8 y). The mean body mass index (BMI) of the cohort was 27.8 kg/m (range, 16.8-47.5 kg/m). Of these patients, 36 (41%) have normal weight (BMI < 25 kg/m) and 51 (59%) were overweight (BMI > 25 kg/m). Direct closure of the perineum was performed in 67 patients (77%). Twenty patients (23%) had musculocutaneous flap closures of the perineum. Fifty-seven patients (66%) had radiation exposure to the perineal region. Nineteen patients (22%) had complications of the perineal wound. We found that direct closure of the perineum in patients who were overweight (P < 0.05), active smokers (P < 0.05), or had chronic obstructive pulmonary disease (P < 0.01) was associated with higher wound complications.
CONCLUSIONS: The use of musculocutaneous flap closures of the perineum after APRs in patients who are overweight (BMI > 25 kg/m), are smokers, or have chronic obstructive pulmonary disease may decrease wound complications.
Предметные рубрики MeSH
AbdomenAbdominal Wound Closure TechniquesAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansInflammatory Bowel DiseasesMaleMiddle AgedMyocutaneous FlapPerineumPlastic Surgery ProceduresRectal DiseasesRectal NeoplasmsRectal ProlapseRetrospective StudiesRisk FactorsSurgical Wound DehiscenceSurgical Wound InfectionTreatment Outcome