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Laparoscopic repair of a large perineal hernia after laparoscopic abdominoperineal resection: A case report
Author(s) -
Kakiuchi Daiki,
Saito Kenichiro,
Mitsui Takeshi,
Munemoto Yoshinori,
Takashima Yoshihiro,
Amaya Susumu,
Shimada Masanari,
Kato Yosuke
Publication year - 2019
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12612
Subject(s) - medicine , abdominoperineal resection , surgery , perineum , sacrum , rectal prolapse , laparoscopy , hernia , ligament , pelvic floor , rectum , colorectal cancer , cancer
A 75‐year‐old woman underwent laparoscopic abdominoperineal resection. Four months after abdominoperineal resection, the patient complained of a perineal bulge and urination disorder. Abdominal CT showed protrusion of the small intestine and bladder to the perineum. The patient underwent laparoscopic hernia repair with mesh. The size of the hernial orifice was 7.0 × 9.0 cm, and it had no solid rim. The mesh was tacked ventrally to the pectineal ligament and dorsally to the sacrum, and then sutured on the lateral side. The hernia has not recurred 10 months after the operation. Laparoscopic repair is a good treatment choice for secondary perineal hernia and fixing the mesh to the pectineal ligament, and the sacrum prevents the mesh from sagging.