Risk factors for perineal wound complications following abdominoperineal resection.

Caprice K. Christian, Mary R. Kwaan, Rebecca A. Betensky, Elizabeth M. Breen, Michael J. Zinner, Ronald Bleday

Research output: Contribution to journalArticle

Abstract

PURPOSE: Perineal wound complications are common following abdominoperineal resection. This study investigates the factors contributing to these complications. METHODS: Patients undergoing abdominoperineal resection at our institution from June 1997 to May 2003 were reviewed. Significant predictors associated with minor (separation 2 cm of separation, reoperation required, or readmission) wound complications were ascertained. RESULTS: Of 153 patients, there were 22 major (14 percent) and 32 minor (24 percent) wound complications. Patients with anal cancer had a higher rate of major complications than those with rectal cancer or inflammatory bowel disease. Minor wound complications were more common in patients with anal cancer and inflammatory bowel disease than those with rectal cancer. Factors associated with a higher rate of major wound complications included flap closure, tumor size, body mass index, diabetes, and indication for the procedure. When the subset of patients with rectal cancer was considered, higher rates of major wounds were associated with increased body mass index, diabetes, and stage. Minor complications were associated with a two-team approach and increasing body mass index. CONCLUSIONS: This is currently the largest review of perineal wound complications following abdominoperineal resection. Patients with anal cancer and inflammatory bowel disease were at higher risk for perineal wound complications than those with rectal cancer. Preoperative radiation and primary closure were not associated with increased complications following abdominoperineal resection for rectal cancer.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalDiseases of the Colon and Rectum
Volume48
Issue number1
StatePublished - Jan 2005
Externally publishedYes

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Rectal Neoplasms
Wounds and Injuries
Anus Neoplasms
Inflammatory Bowel Diseases
Body Mass Index
Reoperation
Radiation
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Christian, C. K., Kwaan, M. R., Betensky, R. A., Breen, E. M., Zinner, M. J., & Bleday, R. (2005). Risk factors for perineal wound complications following abdominoperineal resection. Diseases of the Colon and Rectum, 48(1), 43-48.

Risk factors for perineal wound complications following abdominoperineal resection. / Christian, Caprice K.; Kwaan, Mary R.; Betensky, Rebecca A.; Breen, Elizabeth M.; Zinner, Michael J.; Bleday, Ronald.

In: Diseases of the Colon and Rectum, Vol. 48, No. 1, 01.2005, p. 43-48.

Research output: Contribution to journalArticle

Christian, CK, Kwaan, MR, Betensky, RA, Breen, EM, Zinner, MJ & Bleday, R 2005, 'Risk factors for perineal wound complications following abdominoperineal resection.', Diseases of the Colon and Rectum, vol. 48, no. 1, pp. 43-48.
Christian CK, Kwaan MR, Betensky RA, Breen EM, Zinner MJ, Bleday R. Risk factors for perineal wound complications following abdominoperineal resection. Diseases of the Colon and Rectum. 2005 Jan;48(1):43-48.
Christian, Caprice K. ; Kwaan, Mary R. ; Betensky, Rebecca A. ; Breen, Elizabeth M. ; Zinner, Michael J. ; Bleday, Ronald. / Risk factors for perineal wound complications following abdominoperineal resection. In: Diseases of the Colon and Rectum. 2005 ; Vol. 48, No. 1. pp. 43-48.
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