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

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Authors
Narang, Sunil K.
Alam, Nasra N
Köckerling, F.
Daniels, Ian R.
Smart, Neil J.
Journal
Frontiers in Surgery
Type
Journal Article
Publisher
Frontiers In Surgery
Rights
Archived with thanks to Frontiers in Surgery. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Perineal 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.
Citation
Repair of Perineal Hernia Following Abdominoperineal Excision with Biological Mesh: A Systematic Review. 2016, 3:49 Front Surg
Note
This article is freely available via Open Access. Click on the Additional Link above to access the full text via the publisher's site.