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Optimal postoperative management of perineal flaps in oncologic patients undergoing extralevator abdominoperineal excision: An introduction of a postoperative monitoring and flap management protocol.

Authors :
Khoury A
Bailey S
Mackey SP
Source :
Journal of perioperative practice [J Perioper Pract] 2022 Jan; Vol. 32 (1-2), pp. 10-14. Date of Electronic Publication: 2021 May 06.
Publication Year :
2022

Abstract

There is extensive discussion regarding method of perineal defect closure extralevator abdominoperineal excision, but little consideration of optimal postoperative management of the flaps, or use of Enhanced Recovery After Surgery in flap reconstruction. Literature review revealed little discussion of optimum postoperative care of perineal flaps following extralevator abdominoperineal excision. We have developed a protocol for postoperative care of perineal flaps for use in conjunction with colorectal Enhanced Recovery After Surgery pathways, easily followed in units not specialising in plastic surgery. The protocol was developed using translatable evidence from guidelines for flap care from other subspecialties, as well as the experience of management of post-extralevator abdominoperineal excision perineal flaps in our trust, with the aim of enabling early detection of deterioration in this complex cohort, with a multidisciplinary enhanced recovery approach.

Details

Language :
English
ISSN :
2515-7949
Volume :
32
Issue :
1-2
Database :
MEDLINE
Journal :
Journal of perioperative practice
Publication Type :
Academic Journal
Accession number :
33957819
Full Text :
https://doi.org/10.1177/1750458920959565