{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T09:41:09Z","timestamp":1698831669066},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T00:00:00Z","timestamp":1345593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Management of the pelvic space following laparoscopic abdominoperineal excision remains controversial. We describe a simple technique for obliteration of the pelvic space after laparoscopic abdominoperineal excision.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Pneumoperitoneum was re\u2010established after completion of the operative procedure and a Foley catheter Ch. 24 was inserted through the right lower port under direct vision. The balloon of the catheter, placed in the presacral space, was filled with 50\u2003ml of sterile saline and connected to passive drainage. The catheter was removed 10\u2003days postoperatively.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> This technique was used in 15 patients with the median age of 74\u2003years (range 63\u201386). Eleven patients were treated with preoperative chemoradiotherapy. The median length of hospital stay was 9\u2003days (range 5\u201311). Two patients (13.3%) treated with chemoradiotherapy developed a superficial perineal wound infection and four patients (26.6%) had a deep pelvic abscess, which required surgical drainage. The median time of perineal wound healing was 3\u2003months (range 2\u20138). The median follow\u2010up time was 36\u2003months (range18\u201360). None of the patients developed perineal hernia or intestinal obstruction in the follow\u2010up period. One patient underwent small bowel resection due to stenosis caused by radiation enteritis. There was no local recurrence, but two patients developed distant metastases after 12\u2003months.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Our results suggest that filling the pelvic cavity with a balloon catheter for 10\u2003days results in the creation of a thin, fibrotic peritoneal layer which keeps the small intestine out of the pelvis and prevents loops of intestine adhering in the pelvic cavity.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2012.03027.x","type":"journal-article","created":{"date-parts":[[2012,3,13]],"date-time":"2012-03-13T18:24:18Z","timestamp":1331663058000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Use of a balloon catheter in management of the pelvic space following laparoscopic abdominoperineal excision"],"prefix":"10.1111","volume":"14","author":[{"given":"O.","family":"Bulut","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. B.","family":"Rasmussen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Jess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,8,22]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0784-8"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-007-0392-x"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900014"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(99)00199-4"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90342-8"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341389"},{"key":"e_1_2_4_8_2","first-page":"310","article-title":"Use of omental pedicle grafts in abdominoperineal resection","volume":"56","author":"Ferguson CM","year":"1990","journal-title":"Am Surg"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90342-8"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0643-x"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234183"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2010.10.004"},{"key":"e_1_2_4_13_2","first-page":"473","article-title":"Morbidity after intraperitoneal insertion of saline\u2010filled tissue expanders for small bowel exclusion from radiotherapy treatment fields: a prospective four year experience wiyh 34 patients","volume":"60","author":"Hoffman JP","year":"1994","journal-title":"Am Surg"},{"key":"e_1_2_4_14_2","first-page":"643","article-title":"Iliac\u2010arterial\u2010enteric fistulas occurring after pelvic irradiation","volume":"101","author":"Vetto JT","year":"1987","journal-title":"Surgery"},{"key":"e_1_2_4_15_2","first-page":"1028","article-title":"Pelvic peritonization after laparoscopic abdominoperineal resection for low\u2010rectal carcinoma treatment: surgical technique","volume":"56","author":"Druzijanic N","year":"2009","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_4_16_2","first-page":"1225","article-title":"Perineal wound complications following preoperative radiotherapy for rectal cancer","volume":"170","author":"Aldulaymi BH","year":"2008","journal-title":"Ugeskr Laeger"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2012.03027.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2012.03027.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T05:23:49Z","timestamp":1698729829000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2012.03027.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,22]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1111\/j.1463-1318.2012.03027.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2012.03027.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,22]]},"assertion":[{"value":"2012-08-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}