Cargando…
Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection
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 ca...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Coloproctology
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155140/ https://www.ncbi.nlm.nih.gov/pubmed/25210690 http://dx.doi.org/10.3393/ac.2014.30.4.197 |
_version_ | 1782333540313071616 |
---|---|
author | Lee, Taek-Gu Lee, Sang-Jeon |
author_facet | Lee, Taek-Gu Lee, Sang-Jeon |
author_sort | Lee, Taek-Gu |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4155140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | The Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-41551402014-09-10 Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection Lee, Taek-Gu Lee, Sang-Jeon Ann Coloproctol Case Report 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. The Korean Society of Coloproctology 2014-08 2014-08-26 /pmc/articles/PMC4155140/ /pubmed/25210690 http://dx.doi.org/10.3393/ac.2014.30.4.197 Text en © 2014 The Korean Society of Coloproctology http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lee, Taek-Gu Lee, Sang-Jeon Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title | Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title_full | Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title_fullStr | Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title_full_unstemmed | Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title_short | Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection |
title_sort | mesh-based transperineal repair of a perineal hernia after a laparoscopic abdominoperineal resection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155140/ https://www.ncbi.nlm.nih.gov/pubmed/25210690 http://dx.doi.org/10.3393/ac.2014.30.4.197 |
work_keys_str_mv | AT leetaekgu meshbasedtransperinealrepairofaperinealherniaafteralaparoscopicabdominoperinealresection AT leesangjeon meshbasedtransperinealrepairofaperinealherniaafteralaparoscopicabdominoperinealresection |