The use of a negative pressure wound management system in perineal wound closure after extralevator abdominoperineal excision (ELAPE) for low rectal cancer

Abstract

Our results suggest that after ELAPE the application of a negative pressure system to the perineal wound closed with biologic mesh may reduce perineal wound complications and may reduce the need for major perineal reconstruction.

The application of incisional negative pressure wound therapy for perineal wounds: A systematic review

“…Of the 10 retrieved publications, 4 were excluded for being non‐English texts. The remaining 6 included 1 full text, 3 conference abstracts, a case series, and a video case report . The 3 abstract authors were contacted individually, and requests were made for their data.…”

“…The 3 abstract authors were contacted individually, and requests were made for their data. All 3 authors responded, resulting in 1 full article accepted for publication (Reference , published in July 2016), 1 full article never published (Reference ), and a shared dataset between a 2012 presentation (Reference ) and the 2014 full‐text article (Reference ). Of the included articles, the reference list was checked and did not result in any additional eligible studies.…”

“…Secondary outcome measures were the effect of iNPWT on postoperative perineal wound complication incidence. Studies defined perineal wound complications as: “wound breakdown,” “wound complications: superficial/deep,” “presence of an surgical site infection (SSI), defined according to Centers of Disease Control and Prevention Criteria,” “SSI, defined as purulent material expressed from the incision,” and “wound dehiscence.”…”

Incisional Negative-Pressure Wound Therapy for Perineal Wounds After Abdominoperineal Resection for Rectal Cancer, a Pilot Study

“…11,14 In other studies on the effect of iNPWT for perineal incisions after APR, a negative pressure of -125 mmHG was applied. 16,17 Possibly the negative pressure of -80 mmHg that was applied in this study is not sufficient in relationship to the depth and size of the cavity that exist after APR, while it can be effective for other abdominal surgical indications.…”

“…There are two previously conducted studies that report on the use of iNPWT for perineal incisions after APR. 16,17 In these studies a continuous negative pressure of -125 mmHg was applied for 5 days on primarily closed perineal incisions, leading to a reduction in postsurgical wound complications. Also, the use of variable NPWT was suggested previously.…”