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Clin Colon Rectal Surg 2013; 26(02): 106-111
DOI: 10.1055/s-0033-1348049
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Prevention and Management of Nonhealing Perineal Wounds

Allen Kamrava
1   LA Colon and Rectal Surgical Associates, Beverly Hills, California
,
Najjia N. Mahmoud
2   Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
› Author Affiliations
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Publication History

Publication Date:
27 June 2013 (online)

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Abstract

Complex perineal wounds are at risk for nonhealing. High-risk procedures include proctectomy for Crohn disease, anal cancer and radiated distal rectal cancers. A basic understanding of both patient and procedural risk factors is helpful in planning and executing operative procedures for these conditions and to minimize associated wound complications. Diabetes, obesity, and malnutrition may contribute to wound breakdown and failure to heal. Delaying operative intervention, adding nutritional supplementation, and employing intestinal diversion as well as myocutaneous flaps may help optimize conditions for wound healing.

Keywords

proctectomy - Crohn perineum - perineal wound - surgical site infection
 

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