What is mileage resection?
Abstract. Miles’ resection is the optimal surgical operation for cancer involving the lowermost third of the rectum, although some surgeons question the wisdom of subjecting the patient to permanent colostomy and use fulguration as the alternative.
What is Abdominoperineal resection surgery?
Surgery to remove the anus, the rectum, and part of the sigmoid colon through an incision made in the abdomen.
When is Abdominoperineal resection done?
An abdominoperineal resection (APR) is a surgery in which the anus, rectum and sigmoid colon are removed. This procedure is most often used to treat rectal cancers located very low in the rectum. Often this surgery occurs after you have completed radiation and/or chemotherapy treatments.
Is Abdominoperineal resection permanent?
Abdominoperineal resection (APR) completely removes the distal colon, rectum, and anal sphincter complex using both anterior abdominal and perineal incisions, resulting in a permanent colostomy.
What are the complications of Abdominoperineal resection?
The most frequent complications of a perineal resection include hemorrhage, perineal wound complications, persistent perineal sinus, and perineal hernia.
What is APR surgery?
An abdominal perineal resection (APR) includes the resection of the sigmoid colon, rectum, and anus (figure 1), and the construction of a permanent end colostomy.
How long does it take for the colon to heal from surgery?
After 1 to 2 weeks, you may be able to get back to most of your normal routine, such as walking and working. Don’t try to lift anything over 10 pounds or do intense exercise until you get your doctor’s OK. It usually takes around 6 weeks to recover fully.
What is TME surgery?
TME (which can be defined as complete excision of visceral mesorectum to the level of the levator, with the preservation of the pelvic nerves) is the gold standard for the treatment of rectal cancers and the middle lower third of the rectum.
How long does it take to recover from Apr surgery?
Most people spend several days in the hospital after an APR, depending on how the surgery is done and their overall health. Recovery time at home may be 3 to 6 weeks.
How do perineal wounds heal?
Post traumatic perineal wounds require adequate debridement followed by wound closure usually by skin grafting. In grossly contaminated perineal wounds, use of damp to dry dressings is an effective method to achieve a clean granulating wound.
How long is recovery after APR?