Document Detail

Omentoplasty for persistent perineal sinus after proctectomy for Crohn's disease.
MedLine Citation:
PMID:  11376583     Owner:  NLM     Status:  MEDLINE    
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.
T Yamamoto; E Mylonakis; M R Keighley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  181     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-05-29     Completed Date:  2001-06-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-7     Citation Subset:  AIM; IM    
University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, B15 2TH, Birmingham, United Kingdom.
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MeSH Terms
Crohn Disease / surgery*
Omentum / surgery*
Postoperative Complications / surgery*
Rectal Fistula / etiology,  surgery*
Treatment Outcome
Comment In:
Am J Surg. 2002 Jul;184(1):85; author reply 85   [PMID:  12135729 ]

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