[Problems in perineal wound healing after abdominoperineal excision of the rectum per primam]

The authors analyze different methods of treatment of perineal wounds after abdominoperineal extirpation of the rectum. They do not recommend for wider use the method of filling the cavity with an omental flap or loops of the small intestine. They consider haemostatic tamponades of the perineal cavity as obsolete in view of the large number of postoperative infectious complications. In their trials they used as a filling absorbable polymer. They elaborated a method of lavage drainage of the perineal wound which, in view of the favourable results achieved, is considered the method of choice.