Pelvic inlet closure reduces postoperative ileus in surgery patients

Closure of the pelvic inlet with a bladder peritoneal flap during abdominoperineal resection significantly decreased the rate of postoperative ileus due to incarceration, showing a rate of 0% versus 17% in those without closure (p=0.03). Additionally, patients with pelvic inlet closure experienced a shorter hospital stay, averaging 6.74 days compared to 9.00 days in the non-closure group (p=0.03). The incidence of perineal surgical site infections was lower but not statistically significant.