| Omentoplasty for persistent perineal sinus after proctectomy for Crohn's disease. | |
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MedLine Citation:
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PMID: 11376583 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Persistent perineal sinus is a common and serious cause of morbidity after proctectomy for Crohn's disease. Recently we have performed excision and omentoplasty on 6 patients with persistent perineal sinus. The perineal sinus was completely excised and communication was established with the pelvis. In 4 patients, the left gastroepiploic vessels were divided close to their origins and in 2 other patients the right gastroepiploic vessels were divided. The omentum was brought down to the perineum and it was lightly sutured to the perineal skin. After a median follow-up of 28 months, the perineal sinus had healed in 5 patients. In 1 patient the omentum became necrotic and infected 1 month after omentoplasty, and this patient still has a complex sinus. Although the number of patients is small, omentoplasty may be an effective procedure for the treatment of persistent perineal sinus after proctectomy for Crohn's disease. |
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Authors:
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T Yamamoto; E Mylonakis; M R Keighley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 181 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-05-29 Completed Date: 2001-06-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 265-7 Citation Subset: AIM; IM |
Affiliation:
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University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, B15 2TH, Birmingham, United Kingdom. takay@clin.medic.mie-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Colectomy Crohn Disease / surgery* Female Humans Male Omentum / surgery* Postoperative Complications / surgery* Rectal Fistula / etiology, surgery* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Am J Surg. 2002 Jul;184(1):85; author reply 85
[PMID:
12135729
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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