[Primary wound healing of the sacral cavity following rectum amputation, also a comment on the discussion contribution by G. Jatzko and D. Schlapper, Chirurg (1988) 59: 855]. / Die primäre Wundheilung der Sacralhöhle nach Rectumamputation, zugleich Anmerkung zum Diskussionsbeitrag von G. Jatzko und D. Schlapper. Chirurg (1988) 59:855.

A retrospective study has shown that 46 consecutive abdominoperineal resections (including 3 proctocolectomies due to Crohn's disease or non-classifiable colitis) performed by 6 surgeons showed no signs of wound-healing impairment at the site of the perineal wound or in the sacral cavity. The main points which describe the solution are: orthograde intestinal lavage, prophylactic perioperative antibiotics, closure of the pelvic peritoneum, combined treatment of the sacral cavity with iodoform tamponade and closed drainage.