EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY

  • Aun Jamal Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Sadaf Batool Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Ihtisham Ul Haq Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Jibran Mohsin Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Osama Shakeel Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Shahid Khattak Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
  • Aamir Ali Syed Shaukat Khanum Memorial Cancer Hospital & Research Center Lahore Pakistan
Keywords: Abdominoperineal excision, Dehiscence, Distal rectal cancer, Extra levator, Extra levator abdominoperineal excision, Perineal wound

Abstract

Objective: To emphasize on the early wound complications of the above-mentioned procedure.

Study Design: Retrospective observational study.

Place and Duration of Study: The study was conducted at department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital & Research Center, from Jan 2014 to Dec 2019.

Methodology: A total of 84 patients were included in the study who underwent extra levator abdominoperineal excision. It was a retrospective study with convenient sampling. The data was retrieved from Hospital information system (HIS) that is a fully electrotonic system and is prospectively maintained. Variables were expressed as median and IQR was calculated. Univariate and multivariate analysis was performed. The p-value of ≤0.05 was considered significant.

Results: Wound infection was observed in 32 (38.09%) of the patients. Wound dehiscence was seen is 5 (5.95%) of the patients. Median day of detection of infection was day 10 (5-22). Median hospital stay was 7 (4-22) days. On multivariate analysis the correlation of Body mass index with perineal wound infection was statistically significant with p-value of 0.045.

Conclusion: Extra levator abdominoperineal excision is a procedure with significant perineal wound complication rate. The occurrence of perineal wound complications is multifactorial. Judicial use of the procedure is warranted.

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Published
2020-10-30
How to Cite
Jamal, A., Batool, S., Haq, I., Mohsin, J., Shakeel, O., Khattak, S., & Syed, A. (2020). EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY. Pakistan Armed Forces Medical Journal, 70(5), 1337-43. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/5560
Section
Original Articles