A Systematic Review and Meta-analysis on Omentoplasty for the Management of Abdominoperineal Defects in Patients Treated for Cancer

摘要: Objective: The objective of this systematic review and meta-analysis was to examine the effects omentoplasty on pelviperineal morbidity following abdominoperineal resection (APR) in patients with cancer. Background: Recent studies have questioned use for the prevention perineal wound complications. Methods: A published literature since 2000 use of during APR cancer undertaken. authors were requested to share their source patient data. Meta-analyses were conducted using a random-effects model. Results: Fourteen comprising 1894 (n ¼ 839 omentoplasty) were included. majority had rectal (87%). Omentoplasty was not significantly associated risk presacral abscess formation in the overall population (RR 1.11; 95% CI 0.79–1.56), nor planned subgroup analysis 758) primary closure nonlocally advanced 1.06; 0.68–1.64). No differences were found complicated healing within 30 days 1.30; 95% 0.92–1.82), chronic sinus 1.08; 0.53–2.20), and pelviperineal complication necessitating reoperation 0.80– 1.42) as well. An increased developing hernia for patients submitted 1.85; 1.26–2.72). Complications related reported 4.6% (95% 2.5%– 8.6%). Conclusions: This revealed no beneficial effect after APR, while it increases likelihood hernia. These findings do support routine cancer.