Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Meshless repair of perineal hernia after abdominoperineal resection: case report.

Remzi FH, Oncel M, Wu JS

Cleveland Clinic Foundation, Department of Colorectal Surgery, A-30, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA. remzif@ccf.org

Perineal hernia is a rare complication after major pelvic surgery. Placing non-biodegradable mesh across the pelvic inlet is the best method of repair. A 72-year-old man presented with a perineal hernia 8 years after undergoing an abdominoperineal resection because of rectal cancer. During the repair operation, intestinal spillage occurred, making it impossible to place permanent mesh as planned. Instead, we used the bladder to cover the pelvic inlet. The patient recovered well and after 35 months of follow-up, there was no evidence of hernia recurrence. When mesh placement is not feasible, this bladder mobilization technique can replace it.

Published 18 November 2005 in Tech Coloproctol, 9(2): 142-4.
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