Laparoscopic repair of secondary perineal hernia with coverage by the mobilized cecum.
Herniorrhaphy
laparoscopic surgery
perineal hernia
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
12
06
2018
revised:
19
09
2018
accepted:
10
10
2018
pubmed:
24
11
2018
medline:
24
3
2020
entrez:
24
11
2018
Statut:
ppublish
Résumé
The incidence of secondary perineal hernia (SPH) has increased since the introduction of extralevator abdominoperineal resection and laparoscopic abdominoperineal resection. Currently, laparoscopic mesh repair is the usual procedure. Here, we demonstrate a repair of SPH without mesh that uses the mobilized cecum to cover the pelvic hernial orifice. An 83-year-old man complained of discomfort when sitting for long periods. He was status post laparoscopic abdominoperineal resection and was diagnosed with SPH. Hernia repair was performed. After transperitoneal adhesiolysis in the inferior pelvis, the right colon was laparoscopically mobilized, and the pelvic orifice was covered by suturing the cecum to the pelvic brim. The perineal skin was managed with negative pressure wound therapy. The postoperative course was uneventful. There has been no sign of recurrent herniation for 12 months. This method of SPH repair is simple to perform and avoids mesh-related complications.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
482-485Informations de copyright
© 2018 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.
Références
Aboian E, Winter DC, Metcalf DR et al. Perineal hernia after proctectomy: Prevalence, risks, and management. Dis Colon Rectum 2006; 49: 1564-1568.
Christensen HK, Nerstrom P, Tei T et al. Perineal repair after extralevator abdominoperineal excision for low rectal cancer. Dis Colon Rectum 2011; 54: 711-717.
Sayers AE, Patel RK, Hunter IA. Perineal hernia formation following extralevator abdominoperineal excision. Colorectal Dis 2015; 17: 351-355.
Goedhart-de Haan AM, Langenhoff BS, Petersen D et al. Laparoscopic repair of perineal hernia after abdominoperineal excision. Hernia 2016; 20: 741-746.
Heniford BT, Park A, Ramshaw BJ et al. Laparoscopic repair of ventral hernias: Nine years' experience with 850 consecutive hernias. Ann Surg 2003; 238: 391-399 discussion 399-400.
Melich G, Lim DR, Hur H et al. Prevention of perineal hernia after laparoscopic and robotic abdominoperineal resection: Review with illustrative case series of internal hernia through pelvic mesh. Can J Surg 2016; 59: 54-58.
Bostanci O, Idiz UO, Yazar M et al. A rare complication of composite dual mesh: Migration and enterocutaneous fistula formation. Case Rep Surg 2015; 2015: 293659.
Mjoli M, Sloothaak DA, Buskens CJ et al. Perineal hernia repair after abdominoperineal resection: A pooled analysis. Colorectal Dis 2012; 14: e400-e406.
Vandamme JP & Van der Schuren G. Re-evaluation of the colic irrigation from the superior mesenteric artery. Acta Anat (Basel) 1976; 95: 578-588.