Simultaneous stoma reinforcement and perineal reconstruction with biological mesh - A multicentre prospective observational study.

Introduction: The optimal method for perineal reconstruction after extralevator abdominoperineal excision (elAPE) for low rectal cancer remains controversial. This study aimed to assess whether simultaneous perineal reconstruction and parastomal reinforcement with Strattice™ Reconstructive Tissue Matrix after elAPE could prevent hernia formation.

Methods: In this prospective, multicentre, observational, non-comparative study of consecutive patients undergoing elAPE for low rectal cancer underwent simultaneous perineal reconstruction and colostomy site reinforcement with Strattice™ mesh.

Cancer pathways are associated with improved long-term survival.

Introduction: The impact of cancer patient pathways (CPP) on long-term outcome after surgery for colorectal cancer has not been documented. This study aimed to investigate the effect of CPP on survival in patients who underwent surgery for colorectal cancer.

Methods: This was a retrospective cohort study performed in a single centre on prospectively collected data from a national database, the Danish Colorectal Cancer Group.

Low risk of pelvic sepsis after intersphincteric proctectomy in patients with low rectal cancer.

Introduction: Pelvic sepsis after Hartmann's procedure for low rectal cancer is a frequent complication. It has been reported at a frequency of 12.2-17.

Promising results after endoscopic vacuum treatment of anastomotic leakage following resection of rectal cancer with ileostomy.

Introduction: In colorectal surgery, the most feared complication is anastomotic leakage (AL), which is associated with a high morbidity and mortality. In this study, we focus on treatment of perianastomotic abscess following AL after low anterior resection (LAR) of rectal cancer. In the literature, conservative irrigation regimes are reported to perdure for months and some even years and to be associated with a poor stoma closure rate.

Recording of postoperative complications: quantity and quality.

Objective: To evaluate a simple working procedure for recording postoperative complications.

Design: Prospective cohort study.

Setting: Teaching hospital, Denmark.