Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010:2010:126483.
doi: 10.1155/2010/126483. Epub 2010 Aug 9.

Laparoscopic repair of postoperative perineal hernia

Stephen Ryan  1 , Dara O Kavanagh, Paul C Neary
Affiliations
Case Reports

Laparoscopic repair of postoperative perineal hernia

Stephen Ryan et al. Case Rep Med. 2010.

Abstract

Perineal hernias are infrequent complications following abdominoperineal operations. Various approaches have been described for repair of perineal hernias including open transabdominal, transperineal or combined abdominoperineal repairs. The use of laparoscopic transabdominal repair of perineal hernias is not well-described. We present a case report demonstrating the benefits of laparoscopic repair of perineal hernia following previous laparoscopic abdominoperineal resection (APR) using a nonabsorbable mesh to repair the defect. We have demonstrated that the use of laparoscopy with repair of the pelvic floor defect using a non absorbable synthetic mesh offers an excellent alternative with many potential advantages over open transabdominal and transperineal repairs.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Preoperative picture showing the perineal hernia defect.
Figure 2
Figure 2
Intra-abdominal view of bowel loops mobilised from perineal wall defect.
Figure 3
Figure 3
Five months postoperative perineal hernia repair with no evidence of recurrence.
See this image and copyright information in PMC

References

    1. Aboian E, Winter DC, Metcalf DR, Wolff BG. Perineal hernia after proctectomy: prevalence, risks, and management. Diseases of the Colon and Rectum. 2006;49(10):1564–1568. - PubMed
    1. Akatsu T, Murai S, Kamiya S, et al. Perineal hernia as a rare complication after laparoscopic abdominoperineal resection: report of a case. Surgery Today. 2009;39(4):340–343. - PubMed
    1. Sarr MG, Stewart JR, Cameron JC. Combined abdominoperineal approach to repair of postoperative perineal hernia. Diseases of the Colon and Rectum. 1982;25(6):597–599. - PubMed
    1. Skipworth RJE, Smith GHM, Anderson DN. Secondary perineal hernia following open abdominoperineal excision of the rectum: report of a case and review of the literature. Hernia. 2007;11(6):541–545. - PubMed
    1. So JB-Y, Palmer MT, Shellito PC. Postoperative perineal hernia. Diseases of the Colon and Rectum. 1997;40(8):954–957. - PubMed

Publication types

LinkOut - more resources