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Abstract
The perineal wound which closes and heals after proctectomy does so because the pelvic
cavity is obliterated, mainly by downward descent of the peritoneal floor and to some
extent by posterior movement of the urogenital structures bounding this space anteriorly.
This process, in many instances, can be aided and hastened by primary closure with
suction drainage. Acute and chronic sepsis within this cavity produces a thick-walled,
rigid tract which precludes obliteration of the space with the resultant development
of a chronic sinus. Under this circumstance, only adequate drainage, sometimes requiring
excision of the coccyx and sacrum will suffice to marsupialize the wound and thus
allow healing.
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References
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Article info
Publication history
Accepted:
January 8,
1974
Identification
Copyright
© 1974 Published by Elsevier Inc.
