Summary
One hundred fifty-one cases of patients who underwent proctectomy for inflammatory bowel disease at the Lahey Clinic were analyzed with respect to the factors that predispose to delay in perineal wound healing. Significantly poorer healing took place in patients with Crohn's colitis, in men with ulcerative colitis, and in patients with ulcerative colitis who underwent one-stage operations. Factors that were not statistically significant but that appeared to contribute to delay in healing were younger age of patients and presence of anal fistulas. A comparison is made with the results of other series, and recommendations for treatment and prevention are presented.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Anderson R, Turnbull RB Jr: Grafting the unhealed perineal wound after coloproctectomy for Crohn disease. Arch Surg 111: 335, 1976
Broader JH, Masselink BA, Oates GD, et al: Management of the pelvic space after proctectomy. Br J Surg 61: 94, 1974
de Dombal FT, Burton I, Goligher JC: The early and late results of surgical treatment for Crohn's disease. Br J Surg 58: 805, 1971
Goligher JC: Surgery of the Anus, Rectum, and Colon. Third edition. London, Baillière Tindall, 1975, pp 988–989; 1038–1039
Hughes ES: The treatment of ulcerative colitis. Ann R Coll Surg Engl 37: 191, 1965
Hultén L, Kewenter J, Knutsson U, et al: Primary closure of perineal wound after proctocolectomy or rectal excision. Acta Chir Scand 137: 467, 1971
Irvin TT, Goligher JC: A controlled clinical trial of three different methods of perineal wound management following excision of the rectum. Br J Surg 62: 287, 1975
Jalan KN, Smith AN, Ruckley CV, et al: Perineal wound healing in ulcerative colitis. Br J Surg 56: 749, 1969
Oates GD, Williams JA: Primary closure of the perineal wound in excision of the rectum. Proc R Soc Med 63 (Suppl): 128, 1970
Rhodes JB, Kirsner JB: The early and late course of patients with ulcerative colitis after ileostomy and colectomy. Surg Gynecol Obstet 121: 1303, 1965
Ritchie JK: Ileostomy and excisional surgery for chronic inflammatory disease of the colon: A survey of one hospital region. Gut 12: 528, 1971
Roy PH, Sauer WG, Beahrs OH, et al: Experience with ileostomies: Evaluation of long-term rehabilitation with 497 patients. Am J Surg 119: 77, 1970
Ruckley CV, Smith AN, Balfour TW: Perineal closure by omental graft. Surg Gynecol Obstet 131: 300, 1970
Saha SK, Robinson AF: A study of perineal wound healing after abdominoperineal resection. Br J Surg 63: 555, 1976
Silen W, Glotzer DJ: The prevention and treatment of the persistent perineal sinus. Surgery 75: 535, 1974
Van Prohaska J, Siderius NJ: The surgical rehabilitation of patients with chronic ulcerative colitis. Am J Surg 103: 42, 1962
Watts JM, de Dombal FT, Goligher JC: Long-term complications and prognosis following major surgery for ulcerative colitis. Br J Surg 53: 1014, 1966
Waugh JM, Peck DA, Beahrs OH, et al: Surgical management of chronic ulcerative colitis. Arch Surg 88: 556, 1964
Author information
Authors and Affiliations
Additional information
Read at the annual meeting of the American Society of Colon and Rectal Surgeons, Orlando Florida, May 8 to 12, 1977.
About this article
Cite this article
Corman, M.L., Veidenheimer, M.C., Coller, J.A. et al. Perineal wound healing after proctectomy for inflammatory bowel disease. Dis Colon Rectum 21, 155–159 (1978). https://doi.org/10.1007/BF02586557
Issue Date:
DOI: https://doi.org/10.1007/BF02586557