AIM: Extralevator abdomino-perineal excision (ELAPE) has become increasingly used due to some evidence of improved oncological outcome. It is, however, thought to be associated with a higher incidence of @entity9 formation, although the exact incidence is not known. The aim of the study was to identify the incidence of @entity9 after ELAPE. METHOD: The case notes of @entity1 over a 54-month period were reviewed. The perineal closure technique, perineal complications and management plan were recorded. RESULTS: During the period 56 @entity1 underwent ELAPE, of whom 24 (44%) developed a perineal wound complication. Eight @entity1 had undergone primary perineal closure with and 32 without insertion of a biological mesh or myocutaneous flap. @entity9 was the commonest complication (26%) and occurred in 9 (45%) of 20) of @entity1 who had a laparoscopic ELAPE. CONCLUSION: @entity9 formation was the commonest perineal complication of ELAPE and occurred in nearly half of the @entity1 having a laparoscopic ELAPE. This article is protected by copyright. All rights reserved.

XXXX formation following extralevator abdominoperineal excision.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity9 :: ('MESH:D009437', 'Disease') :: ['Perineal hernia', 'perineal hernia']
@entity9 :: (MESH:D009437,Disease) :: ['Perineal hernia']
