Analysis of presacral tissue structure in LARS and the prevention of LARS by reconstruction of presacral mesorectum with pedicled greater omentum flap graft

Lv, Meng; Qin, Haiquan; Huang, Zijing; Liao, Jiankun; Cai, Jinghua; Feng, Yan; Luo, Shanshan; Lai, Hao; Tang, Weizhong; Mo, X. H.

doi:10.1007/s10151-021-02521-9

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…So far, our centre has conducted a cohort study on TME combined with pedicled greater omentum flap transplantation and the postoperative anal defaecatory function of the cohort has been evaluated. We have found that LARS has been greatly relieved, and all the results and feedback are encouraging [4,5]. In our method, total mesenteric reconstruction (TMR) with a greater omentum flap is simple to perform, does not increase the operating time or difficulty and plays a significant role in preventing We conclude that on the premise of preserving the anus as much as possible, transplantation of pedicled greater omentum flap into the posterior rectal space can significantly improve postoperative LARS.…”

Section: Total Mesorectal Excision Plus Total Intersphincteric Resect...mentioning

confidence: 66%

Total mesorectal excision plus total intersphincteric resection combined with pedicled omentum flap transplantation – A video vignette

et al. 2022

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Section: Total Mesorectal Excision Plus Total Intersphincteric Resect...mentioning

confidence: 66%

Total mesorectal excision plus total intersphincteric resection combined with pedicled omentum flap transplantation – A video vignette

et al. 2022

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“…Nineteen studies on pelvi-perineal surgery were identified 19 , 21 , 22 , 24 , 26 , 28 , 30 , 32 , 34 , 36 , 38 , 40 , 42 , 44 , 46 , 48 , 50 , 52 , 54 , including 13 studies about reconstructions after abdominal perineal resection, five studies about resection of colorectal cancer and one about vesicovaginal fistula repairs. A total of 9349 people were investigated, with 1661 patients underwent omentoplasty and 7688 did not.…”

Section: Resultsmentioning

confidence: 99%

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

Peng,

Xiong,

Ding

et al. 2024

International Journal of Surgery

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Background: Omentoplasty is commonly used in various surgeries. However, its effectiveness is unsure due to lack of convincing data and research. To clarify the impact of omentoplasty on postoperative complications of various procedures, this systematic review and meta-analysis was performed. Methods: A systematic review of published literatures from four databases: PubMed, Web of Science, Cochrane Library, and Embase before July 14, 2022. We primarily included publications on five major surgical operations performed in conjunction with omentoplasty: thoracic surgery, esophageal surgery, gastrointestinal surgery, pelvi-perineal surgery, and liver surgery. The protocol was registered in PROSPERO. Results: This review included 25 273 patients from 91 studies (n=9 670 underwent omentoplasty). Omentoplasty was associated with a lower risk of overall complications particularly in gastrointestinal (RR 0.53; 95%CI 0.39-0.72) and liver surgery (RR 0.54; 95%CI 0.39-0.74). Omentoplasty reduced the risk of postoperative infection in thoracic (RR 0.38; 95%CI 0.18-0.78) and liver surgery (RR 0.39; 95%CI 0.29-0.52). In patients undergoing esophageal (RR 0.89; 95%CI 0.80-0.99) and gastrointestinal (RR 0.28; 95%CI 0.23-0.34) surgery with a BMI greater than 25, omentoplasty is significantly associated with a reduced risk of overall complications compared to patients with normal BMI. No significant differences were found in pelvi-perineal surgery, except infection in patients whose BMI ranged from 25 kg/m2 to 29.9 kg/m2 (RR 1.25; 95%CI 1.04-1.50) and anastomotic leakage in patients aged over 60 (RR 0.59; 95%CI-0.39-0.91). Conclusion: Omentoplasty can effectively prevent postoperative infection. It is associated with a lower incidence of multiple postoperative complications in gastrointestinal and liver surgery.

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Development and validation of an MRI and clinicopathological factors prediction model for low anterior resection syndrome in anterior resection of middle and low rectal cancer

Wang,

Zhou,

Meng

et al. 2024

Heliyon

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Analysis of presacral tissue structure in LARS and the prevention of LARS by reconstruction of presacral mesorectum with pedicled greater omentum flap graft

Cited by 4 publications

References 24 publications

Total mesorectal excision plus total intersphincteric resection combined with pedicled omentum flap transplantation – A video vignette

Total mesorectal excision plus total intersphincteric resection combined with pedicled omentum flap transplantation – A video vignette

The effect of omentoplasty in various surgical operations: Systematic review and meta-analysis

Development and validation of an MRI and clinicopathological factors prediction model for low anterior resection syndrome in anterior resection of middle and low rectal cancer

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