Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection.
- Author:
Taek Gu LEE
1
;
Sang Jeon LEE
Author Information
- Publication Type:Case Report
- Keywords: Perineal hernia; Laparoscopic abdominoperineal resection; Synthetic mesh; Transperineal approach
- MeSH: Hernia*; Hydrogen-Ion Concentration; Pelvic Floor; Pelvis; Viscera
- From:Annals of Coloproctology 2014;30(4):197-200
- CountryRepublic of Korea
- Language:English
- Abstract: A perineal hernia (PH) is formed by a protrusion of intra-abdominal viscera through a defect in the pelvic floor. This is a rare complication after a conventional abdominoperineal resection (APR). However, the risk of a PH may be increased after a laparoscopic resection because this technique can cause fewer postoperative adhesions, predisposing the small bowel to sliding down toward the pelvis. However, only a few case reports describe the transperineal approach for the repair of a PH after a laparoscopic APR. We present a case of a PH after a laparoscopic APR; the PH was repaired with synthetic mesh by using a transperineal approach. A transperineal approach using a mesh to reconstruct the pelvic floor is less invasive and more effective. We suggest that this technique should probably be the first choice for treating an uncomplicated PH that occurs after a laparoscopic APR.
