APEMESH- Preventing Perineal Complications After Abdominoperineal Resection
NCT04334421 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2024-02-01
Summary
Abdominoperineal resection leaves an empty space to be filled by mesh or musculocutaneus flap. Several studies have reported over 30% morbidity with perineal wound healing after abdominoperineal resection. Preoperative radiotherapy is a strong predictor for perineal complications. Musculocutaneus flaps and use of biological mesh seem to minimize perineal morbidity. The role of omentoplasty at APR is controversial.
Previous studies on synthetic mesh repair on perineum are almost lacking.
Conditions
- Rectal Cancer
- Abdominoperineal Resection
- Wound Heal
Interventions
- DEVICE
-
Composite mesh
Pelvic floor is reconstructed by synthetic composite mesh (Symbotex, Medtronic) to improve healing and prevent perineal herniation.
Sponsors & Collaborators
-
Elisa Mäkäräinen
lead OTHER
Principal Investigators
-
Elisa Mäkäräinen-Uhlbäck, M.D. · Oulu University Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-04-03
- Primary Completion
- 2021-02-28
- Completion
- 2022-02-28
Countries
- Finland
Study Locations
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