Clinical Observation Of Pelvic Floor Reconstruction With The Biological Mesh After The Laparoscopic Abdominalperineal Resection For The Patients With Low Rectal Carcinoma

Objective:To research the clinical significance of Biological mesh reconstruction of perineal wounds following laparoscopic abdominoperineal resection(APR)for patients with low rectal cancer.Methods:retrospected the 38 low rectal cancer patients from September,2013 to April,2017 in our department,who have a operation of laparoscopic APR?From the September in2015,we have had 17 laparoscopic APR,with a biological mesh for pelvic floor reconstruction.We regard the as the experimrntal group.Another 21 patients who only have a laparoscopic APR,without a biological mesh for pelvic floor reconstruction,we regard the as the control group..We observer the indicators of time of operation,wound infection,time of stitches removal,the drainage of perineal wounds and hospital stays.Results:Group A have an advantage in less time of stitches removal,the less drainage of perineal wounds and smaller rate of poor healing of perineal wounds(P<0.05).There is no difference in time of operation,blood loss of the operation,hospital stays and time of eating semifluid diet(P>0.05).Conclusion:For the patients who have a operation of laparoscopic APR,Biological mesh reconstruction of perineal wounds may works on reducing drainage of perineal wounds,promoting healing perineal wounds and reducing the incisional infection rate of the perineal wounds.