Open AccessTwo case reports of perineal hernia after laparoscopic abdominoperineal resection with a proposed modification to the operative technique
Author(s) -
LC Ewan,
PJ Charleston,
S H Pettit
Publication year - 2014
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/003588414x13814021677476
Subject(s) - medicine , abdominoperineal resection , surgery , laparoscopy , hernia , general surgery , laparoscopic surgery , complication , colorectal cancer , cancer
Perineal hernia is a rare complication following laparoscopic abdominoperineal resection (APR) for rectal cancer. We present two case reports of perineal hernia following laparoscopic APR and discuss their management. We suggest that they developed because the pelvic peritoneum was left open during laparoscopic APR and propose that closure of the pelvic peritoneum should be routine in this operation.