A new surgical approach of direct perineal wound full‐thick closure for perineal wound of abdominoperineal resection for rectal carcinoma: A prospective cohort trial

Perineal wound complications after APR have high morbidity in the colorectal surgical department. Although some approaches have been figured out to solve this clinical focus, the outcomes are still not satisfied. Herein, this prospective comparative clinical trial has been designed to evaluate a new...

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Bibliographic Details
Published in:International wound journal 2020-12, Vol.17 (6), p.1817-1828
Main Authors: Yang, Yong‐Ping, Yu, Ling‐Yun, Wang, Min, Mu, Yu, Li, Jian‐Nan, Shang, Feng‐Jia, Wu, Xian‐Feng, Liu, Tong‐Jun, Shi, Jian
Format: Article
Language:English
Subjects:
APR
Carcinoma
direct perineal wound full‐thick closure
Humans
hypoalbuminemia
Original
Perineum - surgery
Postoperative Complications
Proctectomy
Prospective Studies
Rectal Neoplasms - surgery
Retrospective Studies
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Summary:Perineal wound complications after APR have high morbidity in the colorectal surgical department. Although some approaches have been figured out to solve this clinical focus, the outcomes are still not satisfied. Herein, this prospective comparative clinical trial has been designed to evaluate a new surgical procedure of direct perineal wound full‐thick closure (DPWC), compared with conventional perineal wound closure (CPWC), with hopes of making wound healing with less complications. In addition, an evaluation of an incision negative wound pressure therapy, as another focus in this field, was also analysed in the DPWC group. A total of 44 participants in our department were recruited from March 2018 to March 2020, divided into two groups randomly, CPWC group and DPWC group. The patients' characteristics, such as age, gender, BMI, smoking, alcohol consumption, comorbidities, CEA level, and high‐risk of invasion, were recorded without statistical significance between the CPWC group and DPWC group. After the same standard abdominal phase, these two groups were performed in different perineal phases. And then, operative and postoperative outcomes were analysed with different statistical methods. Data on wound healing time and length of stay in the DPWC group were shorter than those in the CPWC group (P 
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.13470