Repair of Perineal Hernia Following Abdominoperineal excision with Biological Mesh: A Systematic Review

摘要: Introduction Perineal hernia (PerH) following abdominoperineal excision (APE) procedure is a recognised complication. PerH was considered an infrequent complication of procedure, however, rates up to 45% have been reported in recent publications laparoscopic APE procedure. Various methods repair with the use synthetic meshes or myocutaneous flap described although there no general agreement on optimal strategy. The biological for different operations growing popularity and these promoted as being superior safer when compared meshes. Although biologics becoming popular claims better outcomes are largely unsupported by evidence. aim this systematic review evaluate currently available evidence supporting biologic biosynthetic that develop excision. Methods A all English language literature relevant perineal mesh published between 1st January 2000 31st July 2016 carried out using MEDLINE, EMBASE Cochrane Library Systematic Reviews literature. Searches were performed combination Medical Subject Headings (MeSH) terms text words ‘perineal hernia’, ‘abdominoperineal excision’, ‘morbidity’, ‘biologics’, ‘biosynthetic’, ‘hernia’. Studies which not excluded from review. outcome measures including operative technique, rates, recurrence type mesh, management recurrences risk factors extracted. Oxford Centre Evidence-based Medicine – Levels Evidence (March 2009) used assess quality Results identified 3 case reports, 4 series 1 pooled analysis included final Overall studies poor providing level approaches techniques described, it difficult extract information regards primary secondary measures. Conclusions There strategy