Persistent perineal sinus: Incidence, pathogenesis, risk factors, and management

Surgery Today

Volumn 39, Issue 3, 2009, Pages 189-193

  Lohsiriwat, Varut ^a  

^a MAHIDOL UNIVERSITY   (Thailand)

Author keywords

Pathogenesis; Persistent perineal sinus; Risk factors; Treatment

Indexed keywords

ADHESIVE AGENT; FIBRIN GLUE; IMMUNOSUPPRESSIVE AGENT; METRONIDAZOLE; STEROID;

ADENOMATOUS POLYP; AGING; BACTERIUM CULTURE; CANCER RADIOTHERAPY; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; CONSERVATIVE TREATMENT; CROHN DISEASE; CURETTAGE; DEBRIDEMENT; DIABETES MELLITUS; DISEASE PREDISPOSITION; GLUTEUS MAXIMUS MUSCLE; GRACILIS MUSCLE; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; INCIDENCE; IRRITABLE COLON; MUSCLE FLAP; MYOCUTANEOUS FLAP; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOGENESIS; PELVIS; PERINEUM INJURY; PERSISTENT PERINEAL SINUS; POSTOPERATIVE COMPLICATION; PRACTICE GUIDELINE; PREOPERATIVE TREATMENT; PROCTOCOLECTOMY; RECTUM ABDOMINOPERINEAL RESECTION; RECTUM ADENOMA; RECTUM CANCER; RECTUM RESECTION; RECTUS ABDOMINIS MUSCLE; REVIEW; RISK FACTOR; SEPSIS; STEROID THERAPY; SURGICAL TECHNIQUE; TREATMENT FAILURE; ULCERATIVE COLITIS; VACUUM ASSISTED CLOSURE; WOUND CARE; WOUND HEALING; WOUND HEALING IMPAIRMENT;

ANUS DISEASES; HUMANS; INCIDENCE; NEGATIVE-PRESSURE WOUND THERAPY; PERINEUM; POSTOPERATIVE COMPLICATIONS; RECONSTRUCTIVE SURGICAL PROCEDURES; RECTAL DISEASES; RECTAL FISTULA; RISK FACTORS; SURGICAL FLAPS; WOUND HEALING;

EID: 62449256659     PISSN: 09411291     EISSN: 14362813     Source Type: Journal    
DOI: 10.1007/s00595-008-3846-z     Document Type: Review

References (48)

1. M. Karoui R. Cohen J. Nicholls 2004 Results of surgical removal of the pouch after failed restorative proctocolectomy Dis Colon Rectum 47 869 875
2. J.M. Watts F.T. de Dombal J.C. Goligher 1966 Long-term complications and prognosis following major surgery for ulcerative colitis Br J Surg 53 1014 1023
3. M. Kobayashi Y. Mohri H. Tonouchi C. Miki K. Nakai M. Kusunoki 2007 Randomized clinical trial comparing intravenous antimicrobial prophylaxis alone with oral and intravenous antimicrobial prophylaxis for the prevention of a surgical site infection in colorectal cancer surgery Surg Today 37 383 388
4. W.E. Miles 1908 A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon Lancet 2 1812 1813
5. M.R. Keighley R.N. Allan 1986 Current status and influence of operation on perianal Crohn's disease Int J Colorectal Dis 1 104 107
6. E. Mylonakis R.N. Allan M.R. Keighley 2001 How does pouch construction for a final diagnosis of Crohn's disease compare with ileoproctostomy for established Crohn's proctocolitis? Dis Colon Rectum 44 1137 1142
7. T. Yamamoto R.N. Allan M.R. Keighley 2000 Audit of single-stage proctocolectomy for Crohn's disease: postoperative complications and recurrence Dis Colon Rectum 43 249 256
8. D.L. Manjoney M.J. Koplewitz J.S. Abrams 1983 Factors influencing perineal wound healing after proctectomy Am J Surg 145 183 189
9. J.G. Williams L.E. Hughes 1990 Abdominoperineal resection for severe perianal Crohn's disease Dis Colon Rectum 33 402 407
10. J.J. Bauer I.M. Gelernt B.A. Salk I. Kreel 1986 Proctectomy for inflammatory bowel disease Am J Surg 151 157 162
11. M.L. Corman M.C. Veidenheimer J.A. Coller V.H. Ross 1978 Perineal wound healing after proctectomy for inflammatory bowel disease Dis Colon Rectum 21 155 159
12. M.A. Chadwick D. Vieten E. Pettitt A.R. Dixon A.M. Roe 2006 Short course preoperative radiotherapy is the single most important risk factor for perineal wound complications after abdominoperineal excision of the rectum Colorectal Dis 8 756 761
13. A. Fingerhut J.M. Hay J.P. Delalande J.C. Paquet 1995 Passive vs. closed suction drainage after perineal wound closure following abdominoperineal rectal excision for carcinoma. A multicenter, controlled trial. The French Association for Surgical Research Dis Colon Rectum 38 926 932
14. J.P. Delalande J.M. Hay A. Fingerhut G. Kohlmann J.C. Paquet 1994 Perineal wound management after abdominoperineal rectal excision for carcinoma with unsatisfactory hemostasis or gross septic contamination: primary closure vs. packing. A multicenter, controlled trial. French Association for Surgical Research Dis Colon Rectum 37 890 896
15. R.G. Tompkins A.L. Warshaw 1985 Improved management of the perineal wound after proctectomy Ann Surg 202 760 765
16. B.T. Ferrari L. DenBesten 1980 The prevention and treatment of the persistent perineal sinus World J Surg 4 167 172
17. W. Silen D.J. Glotzer 1974 The prevention and treatment of the persistent perineal sinus Surgery 75 535 542
18. M. Prudhomme N. Dehni R.R. Dozois E. Tiret R. Parc 2006 Causes and outcomes of pouch excision after restorative proctocolectomy Br J Surg 93 82 86
19. V. Lohsiriwat S.K. Clark 2008 Persistent perineal sinus after ileoanal pouch excision in inflammatory bowel diseases: incidence, risk factors, and clinical course Dis Colon Rectum 51 12 1795 1799
20. M.E. Sher J.J. Bauer S. Gorphine I. Gelernt 1992 Low Hartmann's procedure for severe anorectal Crohn's disease Dis Colon Rectum 35 975 980
21. K.M. Bullard J.L. Trudel N.N. Baxter D.A. Rothenberger 2005 Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failure Dis Colon Rectum 48 438 443
22. E.R. Winslow I.J. Kodner M.G. Mutch E.B. Birnbaum J.W. Fleshman D.W. Dietz 2004 Outcome of salvage abdominoperineal resection after failed endocavitary radiation in patients with rectal cancer Dis Colon Rectum 47 2039 2046
23. T. Yamamoto I.M. Bain R.N. Allan M.R. Keighley 1999 Persistent perineal sinus after proctocolectomy for Crohn's disease Dis Colon Rectum 42 96 101
24. C.K. Christian M.R. Kwaan R.A. Betensky E.M. Breen M.J. Zinner R. Bleday 2005 Risk factors for perineal wound complications following abdominoperineal resection Dis Colon Rectum 48 43 48
25. R.J. Ehrlichman B.R. Seckel D.J. Bryan C.J. Moschella 1991 Common complications of wound healing. Prevention and management Surg Clin North Am 71 1323 1351
26. E.J. Lubbers 1982 Healing of the perineal wound after proctectomy for nonmalignant conditions Dis Colon Rectum 25 351 357
27. J.R. Zeitels R.G. Fiddian-Green T.L. Dent 1984 Intersphincteric proctectomy Surgery 96 617 623
28. T.T. Irvin J.C. Goligher 1975 A controlled clinical trial of three different methods of perineal wound management following excision of the rectum Br J Surg 62 287 291
29. R.D. Hurst L.J. Gottlieb P. Crucitti M. Melis M. Rubin F. Michelassi 2001 Primary closure of complicated perineal wounds with myocutaneous and fasciocutaneous flaps after proctectomy for Crohn's disease Surgery 130 767 772
30. S.W. Bell N. Dehni M. Chaouat J.C. Lifante R. Parc E. Tiret 2005 Primary rectus abdominis myocutaneous flap for repair of perineal and vaginal defects after extended abdominoperineal resection Br J Surg 92 482 486
31. B. Sarani B.A. Orkin 1997 Squamous cell carcinoma arising in an unhealed wound in Crohn's disease South Med J 90 940 942
32. R. Lewis P. Whiting G. ter Riet S. O'Meara J. Glanville 2001 A rapid and systematic review of the clinical effectiveness and cost-effectiveness of debriding agents in treating surgical wounds healing by secondary intention Health Technol Assess 5 1 131
33. Y. Maeda V. Lohsiriwat S.K. Clark 2007 Effects of topical administration of 10% metronidazole ointment on longstanding persistent perineal sinus: a pilot study Colorectal Dis 9 suppl3 55
34. A. Hjortrup F. Moesgaard J. Kjaergard 1991 Fibrin adhesive in the treatment of perineal fistulas Dis Colon Rectum 34 752 754
35. C. Hollister V.W. Li 2007 Using angiogenesis in chronic wound care with becaplermin and oxidized regenerated cellulose/collagen Nurs Clin North Am 42 457 465
36. S. Enoch J.E. Grey K.G. Harding 2006
37. M. Yousaf A. Witherow K.R. Gardiner R. Gilliland 2004 Use of vacuum-assisted closure for healing of a persistent perineal sinus following panproctocolectomy: report of a case Dis Colon Rectum 47 1403 1407
38. D.M. Schaffzin J.M. Douglas T.J. Stahl L.E. Smith 2004 Vacuum-assisted closure of complex perineal wounds Dis Colon Rectum 47 1745 1748
39. G. Branagan M.R. Thompson A. Senapati 2006 Cleft closure for the treatment of unhealed perineal sinus Colorectal Dis 8 314 317
40. R. Anderson R.B. Turnbull Jr. 1976 Grafting the unhealed perineal wound after coloproctectomy for Crohn disease Arch Surg 111 335 338
41. R.S. McLeod J.A. Palmer Z. Cohen 1985 Management of chronic perineal sinuses by wide excision and split-thickness skin grafting Can J Surg 28 315 316
42. J.P. Anthony S.J. Mathes 1990 The recalcitrant perineal wound after rectal extirpation. Applications of muscle flap closure Arch Surg 125 1371 1376
43. W.A. Brough P.F. Schofield 1991 The value of the rectus abdominis myocutaneous flap in the treatment of complex perineal fistula Dis Colon Rectum 34 148 150
44. M.H. Collie M.A. Potter D.C. Bartolo 2005 Myocutaneous flaps promote perineal healing in inflammatory bowel disease Br J Surg 92 740 741
45. A. Menon M.A. Clark T. Shatari C. Keh M.R. Keighley 2005 Pedicled flaps in the treatment of nonhealing perineal wounds Colorectal Dis 7 441 444
46. J. Rius A. Nessim J.J. Nogueras S.D. Wexner 2000 Gracilis transposition in complicated perianal fistula and unhealed perineal wounds in Crohn's disease Eur J Surg 166 218 222
47. T. Yamamoto E. Mylonakis M.R. Keighley 2001 Omentoplasty for persistent perineal sinus after proctectomy for Crohn's disease Am J Surg 181 265 267
48. J.M. Regimbeau Y. Panis M. Pocard Y. Bouhnik A. Lavergne-Slove P. Rufat 2001 Long-term results of ileal pouch-anal anastomosis for colorectal Crohn's disease Dis Colon Rectum 44 769 778