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

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, fr...

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Autores principales:	Aun Jamal, Sadaf Batool, Ihtisham Ul Haq, Jibran Mohsin, Osama Shakeel, Shahid Khattak, Aamir Ali Syed
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	abdominoperineal excision dehiscence distal rectal cancer extra levator extra levator abdominoperineal excision perineal wound Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b9aaac9a25864d13b789d6c290d5d4e9
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spelling	oai:doaj.org-article:b9aaac9a25864d13b789d6c290d5d4e92021-12-02T14:57:43ZEARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY0030-96482411-8842https://doaj.org/article/b9aaac9a25864d13b789d6c290d5d4e92020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5560https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: 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. Aun JamalSadaf BatoolIhtisham Ul HaqJibran MohsinOsama ShakeelShahid KhattakAamir Ali SyedArmy Medical College Rawalpindiarticleabdominoperineal excisiondehiscencedistal rectal cancerextra levatorextra levator abdominoperineal excisionperineal woundMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1337-1343 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominoperineal excision dehiscence distal rectal cancer extra levator extra levator abdominoperineal excision perineal wound Medicine R Medicine (General) R5-920
spellingShingle	abdominoperineal excision dehiscence distal rectal cancer extra levator extra levator abdominoperineal excision perineal wound Medicine R Medicine (General) R5-920 Aun Jamal Sadaf Batool Ihtisham Ul Haq Jibran Mohsin Osama Shakeel Shahid Khattak Aamir Ali Syed EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
description	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.
format	article
author	Aun Jamal Sadaf Batool Ihtisham Ul Haq Jibran Mohsin Osama Shakeel Shahid Khattak Aamir Ali Syed
author_facet	Aun Jamal Sadaf Batool Ihtisham Ul Haq Jibran Mohsin Osama Shakeel Shahid Khattak Aamir Ali Syed
author_sort	Aun Jamal
title	EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
title_short	EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
title_full	EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
title_fullStr	EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
title_full_unstemmed	EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY
title_sort	early post-operative perineal wound complications in patients undergoing extra levator abdominoperineal excision, a retrospective study at department of surgical oncology
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/b9aaac9a25864d13b789d6c290d5d4e9
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EARLY POST-OPERATIVE PERINEAL WOUND COMPLICATIONS IN PATIENTS UNDERGOING EXTRA LEVATOR ABDOMINOPERINEAL EXCISION, A RETROSPECTIVE STUDY AT DEPARTMENT OF SURGICAL ONCOLOGY

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