Impact of incisional negative pressure wound therapy on perineal wound healing after abdominoperineal rectum extirpation.

INTRODUCTION: Perineal wound healing disorders are one of the major complications following abdominoperineal rectum extirpation.

METHODS AND RESULTS: We evaluated the impact of an "incisional negative pressure wound therapy" (iNPWT) system after abdominoperineal rectum extirpation in six patients. All patients had a neoadjuvant radiochemotherapy with 50.4 Gy and 5-FU. Five of the six patients (83%) experienced complication-free healing of the perineal wound after 5 to 12 days of iNPWT. One patient developed a wound healing disorder 8 days after abdominoperineal rectum extirpation during current iNPWT.

DISCUSSION: Use of an iNPWT system can be of favor after abominoperineal rectum extirpation.