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  1. Article ; Online: Biological mesh used to repair perineal hernias following abdominoperineal resection for anorectal cancer.

    Jafari, M / Schneider-Bordat, L / Hersant, B

    Annales de chirurgie plastique et esthetique

    2020  Volume 65, Issue 4, Page(s) e15–e21

    Abstract: Purpose: This study aimed to determine the outcome for patients who had undergone perineal hernia repair, via a perineal approach, using a biological mesh post-abdominoperineal excision (APE) for anorectal cancer.: Method: All consecutive patients ... ...

    Abstract Purpose: This study aimed to determine the outcome for patients who had undergone perineal hernia repair, via a perineal approach, using a biological mesh post-abdominoperineal excision (APE) for anorectal cancer.
    Method: All consecutive patients having undergone perineal hernia repair involving an extracellular matrix of porcine small intestinal submucosa at our hospital between 2015 and 2018 were included. Follow-up clinical examinations and computed tomography scans were performed.
    Results: Six patients were treated surgically for symptomatic perineal hernia after a median of 31 months from APE. The median follow-up after hernia repair was 11 months (interquartile range [IQR], 6-35 months). Three patients (50%) developed a recurrent perineal hernia after a median interval of 6 months.
    Conclusion: Perineal hernia repair using a biological mesh resulted in a high recurrence rate in patients who had undergone APE for anorectal cancer.
    MeSH term(s) Animals ; Anus Neoplasms ; Hernia/etiology ; Humans ; Neoplasm Recurrence, Local ; Perineum/surgery ; Proctectomy ; Rectal Neoplasms/surgery ; Surgical Mesh ; Swine
    Language English
    Publishing date 2020-06-06
    Publishing country France
    Document type Journal Article
    ZDB-ID 605676-3
    ISSN 1768-319X ; 0294-1260
    ISSN (online) 1768-319X
    ISSN 0294-1260
    DOI 10.1016/j.anplas.2019.12.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Management of pancreatic ascites complicating alcoholic chronic pancreatitis.

    Schneider Bordat, L / El Amrani, M / Truant, S / Branche, J / Zerbib, P

    Journal of visceral surgery

    2021  Volume 158, Issue 5, Page(s) 370–377

    Abstract: Introduction: Pancreatic ascites (PA) is an unusual and little studied complication of chronic alcoholic pancreatitis. Management is complex and is based mainly on empirical data. The aim of this retrospective work was to analyse the management of PA at ...

    Abstract Introduction: Pancreatic ascites (PA) is an unusual and little studied complication of chronic alcoholic pancreatitis. Management is complex and is based mainly on empirical data. The aim of this retrospective work was to analyse the management of PA at our centre.
    Patients and methods: A total of 24 patients with PA complicating chronic alcoholic pancreatitis were managed at the Lille University Hospital between 2004 and 2018. Treatment was initially medical and then, in case of failure, interventional (endoscopic, radiological and/or surgical). Data regarding epidemiology, therapeutic and follow-up data were collected retrospectively.
    Results: Twenty-four patients were analysed; median follow-up was 18.5 months [6.75-34.25]. Exclusively medical treatment was effective in three of four patients, but, based on intention to treat, medical therapy alone was effective in only two out of 24 patients. Of 17 patients treated endoscopically, treatment was successful in 15 of them. Of the 15 who underwent surgery, external surgical drainage was effective in 13. Multimodal treatment, initiated after 6.5 days [4-13.5] of medical treatment, was effective in 12 out of 14 patients. In total, 21 patients were successfully treated (87%) with a morbidity rate of 79% and a mortality rate of 12.5% (n=3).
    Conclusion: PA gives rise to significant morbidity and mortality. Conservative medical treatment has only a limited role. If medical treatment fails, endoscopic and then surgical treatment allow a favourable outcome in more than 80% of patients.
    MeSH term(s) Ascites/etiology ; Ascites/therapy ; Drainage/adverse effects ; Humans ; Pancreatic Pseudocyst/etiology ; Pancreatitis, Alcoholic/complications ; Pancreatitis, Alcoholic/therapy ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-01-16
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2020.11.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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