Response to Jensen et al. (2014): pelvic floor reconstruction with a biological mesh after extralevator abdominoperineal excision leads tolow wound complications and perineal hernia rates with minor movement limitations

Jensen et al describe their experience with reconstruction of the pelvic floor using a biological mesh after extralevator abdominoperineal excision (ELAPE)[1]. The title states that a biological mesh leads to low perineal wound complications and perineal hernia rates. Surprisingly the authors conclude at the end of the discussion that "the biological mesh reconstruction of the pelvic floor results in transient pain with a high rate of wound complications". But this is considered to be acceptable given the advantages, in the light of a low perineal hernia rate and no major limitations of movement or sitting according to the authors. This article is protected by copyright. All rights reserved