Open AccessEarly Post-Operative Perineal Wound Complications in Patients Undergoing Extra Levator Abdominoperineal Excision, A Retrospective Study at Department of Surgical Oncology
Author(s) -
Aun Jamal,
Aun Jamal,
Sadaf Batool,
Ihtisham Ul Haq,
Faizan Ullah,
Osama Shakeel,
Jibran Mohsin,
Abdul Wahid Anwer,
Shahid Khattak,
Aamir Ali Syed
Publication year - 2020
Publication title -
clinical oncology and research
Language(s) - English
Resource type - Journals
ISSN - 2613-4942
DOI - 10.31487/j.cor.2020.08.09
Subject(s) - medicine , abdominoperineal resection , surgery , dehiscence , wound dehiscence , perineum , retrospective cohort study , complication , cancer , colorectal cancer
Objectives: Extra Levator Abdominoperineal Excision (ELAPE) is an emerging technique for themanagement of locally advanced distal rectal cancers. Current evidence suggests that this technique isassociated with better oncological outcomes and hence survival. Extra levator abdominoperineal excisionis associated with significant perineal complications both in short and long term. The objective of the currentstudy is to emphasize on the early wound complications of the above-mentioned procedure.Study Design: It was a retrospective observational study with continent sampling.Place and Duration of Study: The study was conducted at department of Surgical Oncology ShaukatKhanum Memorial Cancer Hospital & Research Center Lahore, Pakistan. The study period was from 1stJanuary 2014 to 31st December, 2019.Patients and Methods: A total of 84 patients were included in the study who underwent extra levatorabdominoperineal excision (ELAPE). All patients undergoing extra levator abdominoperineal excisionduring the said period were included.Results: A total of 84 patients underwent Extra Levator Abdominoperineal Excision between January 2014and December 2019. Wound infection was observed in 32 (38.09%) of the patients. Wound dehiscence wasseen is five patients. Median day of detection of infection was day 10 (5-22). Median hospital stay was 7(4-22) days.Conclusion: Extra Levator Abdominoperineal Excision is a procedure with significant perineal woundcomplication rate. The occurrence of perineal wound complications is multifactorial. Judicial use of theprocedure is warranted