Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2013 Jun;26(2):106-11.
doi: 10.1055/s-0033-1348049.

Prevention and management of nonhealing perineal wounds

Allen Kamrava  1 , Najjia N Mahmoud  2
Affiliations
Review

Prevention and management of nonhealing perineal wounds

Allen Kamrava et al. Clin Colon Rectal Surg. 2013 Jun.

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: Crohn perineum; perineal wound; proctectomy; surgical site infection.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Zorcolo L, Restivo A, Capra F, Fantola G, Marongiu L, Casula G. Does long-course radiotherapy influence postoperative perineal morbidity after abdominoperineal resection of the rectum for cancer? Colorectal Dis. 2011;13(12):1407–1412. - PubMed
    1. Bullard K M, Trudel J L, Baxter N N, Rothenberger D A. Primary perineal wound closure after preoperative radiotherapy and abdominoperineal resection has a high incidence of wound failure. Dis Colon Rectum. 2005;48(3):438–443. - PubMed
    1. El-Gazzaz G, Kiran R P, Lavery I. Wound complications in rectal cancer patients undergoing primary closure of the perineal wound after abdominoperineal resection. Dis Colon Rectum. 2009;52(12):1962–1966. - PubMed
    1. Matsuda K, Hotta T, Takifuji K. et al.Long-term comorbidity of diabetes mellitus is a risk factor for perineal wound complications after an abdominoperineal resection. Langenbecks Arch Surg. 2009;394(1):65–70. - PubMed
    1. Turner I I, Russell G B, Blackstock A W, Levine E A. Impact of neoadjuvant therapy on postoperative complications in patients undergoing resection for rectal adenocarcinoma. Am Surg. 2004;70(12):1045–1049. - PubMed