Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press21910.17650/2220-3478-2017-7-2-53-59REVIEWОБЗОРЫ ЛИТЕРАТУРЫMethods of reconstruction of perineal wounds after abdominoperineal resection. Literature reviewМетоды реконструкции промежностных ран после брюшно-промежностной экстирпации прямой кишки. Обзор литературыGordeevS. S.ГордеевС. С.
Russian Federation

Surgical Department No. 3 (Proctological)

Отделение хирургическое № 3 (проктологическое)

ss.gestalt@gmail.comIvanovV. A.ИвановВ. А.
Russian Federation

Surgical Department No. 3 (Proctological)

Отделение хирургическое № 3 (проктологическое)

ss.gestalt@gmail.comKuz'michevD. V.КузьмичевД. В.
Russian Federation

Surgical Department No. 3 (Proctological)

Отделение хирургическое № 3 (проктологическое)

ss.gestalt@gmail.comTamrazovR. I.ТамразовР. И.
Russian Federation

Surgical Department No. 3 (Proctological)

Отделение хирургическое № 3 (проктологическое)

ss.gestalt@gmail.comRasulovA. O.РасуловА. О.
Russian Federation

Surgical Department No. 3 (Proctological)

Отделение хирургическое № 3 (проктологическое)

ss.gestalt@gmail.comN.N. Blokhin National Medical Research Oncology Center, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииN.N. Blokhin National Medical Research Oncology Center, Ministry of Health of Russia280920177253592809201728092017Copyright ©; 2017, Gordeev S.S., Ivanov V.A., Kuz'michev D.V., Tamrazov R.I., Rasulov A.O.Copyright ©; 2017, Гордеев С.С., Иванов В.А., Кузьмичев Д.В., Тамразов Р.И., Расулов А.О.2017Gordeev S.S., Ivanov V.A., Kuz'michev D.V., Tamrazov R.I., Rasulov A.O.Гордеев С.С., Иванов В.А., Кузьмичев Д.В., Тамразов Р.И., Расулов А.О.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/219

The problem of wound closure after abdominoperineal resection to treat oncological diseases remains unsolved. Formation of a primary suture in the perineal wound can lead to multiple postoperative complications: seroma, abscess, wound disruption with subsequent perineal hernia. Chemoradiation therapy as a standard for locally advanced rectal or anal cancer doesn’t improve results of treatment of perineal wounds and increases duration of their healing. Currently, surgeons have several reconstructive and plastic techniques to improve both direct and long-term functional treatment results. In the article, the most common methods of allo- and autotransplantation are considered, benefits and deficiencies of various techniques are evaluated and analyzed.

 

 

Проблема закрытия раневого дефекта после брюшно-промежностной экстирпации прямой кишки по поводу онкологических заболеваний до сих пор не решена. Формирование первичного шва на промежностной ране может привести к множеству после-операционных осложнений: серомe, абсцессу, несостоятельности раны с последующей промежностной грыжей. Химиолучевая терапия как стандарт лечения местно-распространенного рака прямой кишки или анального канала не улучшает результаты лечения ран промежности и удлиняет сроки их заживления. На сегодняшний день у хирурга-онколога имеется ряд реконструктивно-пластических методик для улучшения как непосредственных, так и отдаленных функциональных результатов лечения. В статье рассмотрены наиболее распространенные техники как алло-, так и аутотрансплантации, оценены и проанализированы достоинства и недостатки различных методик.

 

 

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