ArticleAnnals of surgical oncology2018
Snapshot Study on the Value of Omentoplasty in Abdominoperineal Resection with Primary Perineal Closure for Rectal Cancer.
Article in Annals of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- A comparison of surgical techniques for perineal wound closure following perineal excision: a systematic review and network meta-analysis.Techniques in coloproctology · 2023Pooled it
- Local Pedicled Flaps and Biological Implant Options for Patients Undergoing Proctectomy for Crohn's Disease When an Omental Pedicle Flap Is Not Possible.Medicina (Kaunas, Lithuania) · 2025Article
- Omentoplasty in Surgical Interventions: A Comprehensive Review of Techniques and Outcomes.Cureus · 2024Review
- Median and medial umbilical ligament repositioning for prevention of pelviperineal complications following abdominoperineal resection-a case series and novel technique.Langenbeck's archives of surgery · 2024Article
- Research highlight: surgical outcomes of gluteal VY plasty after extensive abdominoperineal resection or total pelvic exenteration.Langenbeck's archives of surgery · 2023Article
- Is it worthwhile to perform closure of the pelvic peritoneum in laparoscopic extralevator abdominoperineal resection?Langenbeck's archives of surgery · 2022Article
- Retrospective analysis of risk factors for postoperative perineal hernia after endoscopic abdominoperineal excision for rectal cancer.BMC surgery · 2022Article
- Low Concentrated Fractionalized Nanofibers as Suitable Fillers for Optimization of Structural-Functional Parameters of Dead Space Gel Implants after Rectal Extirpation.Gels (Basel, Switzerland) · 2022Article
- Efficacy of Pelvic Peritoneum Closure After Laparoscopic Extralevator Abdominoperineal Excision for Rectal Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Clinical effectiveness of omental transposition in facilitating perineal wound healing after abdominoperineal resection: a systematic review.Yeungnam University journal of medicine · 2021Article
- The impact of laparoscopic technique on the rate of perineal hernia after abdominoperineal resection of the rectum.Surgical endoscopy · 2021Article
- Article
- Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center.Surgical endoscopy · 2021Article
- Article
- Further insights into the treatment of perineal hernia based on a the experience of a single tertiary centre.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2020Article
- PERINEAL REPAIR AFTER ABDOMINOPERINEAL EXCISION WITH RECTUS ABDOMINIS MYOCUTANEOUS FLAP.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2020Article
- CT assessment of the quality of omentoplasty and its implications for perineal wound healing.International journal of colorectal disease · 2019Article
- Feasibility of a subcutaneous gluteal turnover flap without donor site scar for perineal closure after abdominoperineal resection for rectal cancer.Techniques in coloproctology · 2019Article
- Omental flaps in patients undergoing abdominoperineal resection for rectal cancer.International journal of colorectal disease · 2019Article
- ASO Author Reflections: Omentoplasty to Improve Perineal Wound Healing After Abdominoperineal Resection.Annals of surgical oncology · 2018Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPerineal wound complications are often encountered following abdominoperineal resection (APR). Filling of the pelvic space by omentoplasty (OP) might prevent these complications, but there is scant evidence to support its routine application.
objectiveThe aim of this study was to evaluate the impact of OP on perineal wound complications.
methodsAll patients undergoing APR with primary perineal closure (PPC) for non-locally advanced rectal cancer in 71 Dutch centers in 2011 were selected from a cross-sectional snapshot study. Outcomes were compared between PPC with or without OP, which was based on variability in practice among surgeons.
resultsOf 639 patients who underwent APR for rectal cancer, 477 had a non-locally advanced tumor and PPC was performed. Of those, 172 (36%) underwent OP. Patients with OP statistically more often underwent an extralevator approach (32% vs. 14%). Median follow-up was 41 months (interquartile range 22-47). There were no significant differences with or without OP in terms of non-healing of the perineal wound at 30 days (47% vs. 48%), non-healing at the end of follow-up (9% vs. 5%), pelvic abscess (12% vs. 13%) or re-intervention for ileus (5% vs. 3%). Perineal hernia developed significantly more often after OP (13% vs. 7%), also by multivariable analysis (odds ratio 2.61, 95% confidence interval 1.271-5.364; p = 0.009).
conclusionsIn contrast to previous assumptions, OP after APR with PPC appeared not to improve perineal wound healing and seemed to increase the occurrence of perineal hernia. These findings question the routine use of OP for primary filling of the pelvic space.
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Registered trials
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