MODERN APPROACHES TO THE PLASTIC DEFECTS OF THE PELVIC FLOOR AFTER EXPANDED AND COMBINED ABDOMINOPERINEAL RECTAL EXTIRPATION IN PATIENTS WITH RECTAL CANCER
In the study, 118 patients were diagnosed with pelvic floor plastic and divided into three groups. In the first group, reconstruction was performed from the side of the perineal wound. In the second - from the side of the abdominal cavity. In the third group, only skin was sutured of the perineal wound. The results of treatment of patients with rectal cancer after expanded and combined abdominoperineal rectum extirpations showed that, in all cases it is necessary to perform a reconstructive-recovery stage which aims to eliminate the defect of the pelvic floor. Due to the large number of postoperative complications from the perineal wound, the expediency of performing simple plastic surgery is doubtful in all cases of treatment of patients with rectal cancer.