Perineal hernia extruding into the labium majus after multiple surgeries for pelvic organ prolapse

Moroni, Rafael Mendes; Magnani, Pedro Sérgio; Reis, Francisco José Candido dos; Brito, Luiz Gustavo Oliveira

doi:10.1007/s00192-013-2063-5

Cited by 7 publications

(3 citation statements)

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“…Out of 347 repairs, only 34 were laparoscopic ( Maspero et al, 2022 ). The laparoscopic abdominal approach allows direct vision and, depending on the surgeon’s experience, may ensure more effective closure of the pelvic defect ( Stamatiou et al, 2010 ; Moroni et al, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of an anterior perineal hernia: a video presentation

Furuie¹,

Quevedo²,

Tovar³

et al. 2023

Facts Views Vis ObGyn

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Background: The perineal hernia is a condition that occurs as a result of a defect in the pelvic diaphragm. It is classified as anterior or posterior, and as either a primary or secondary hernia. The best management of this condition remains controversial. Objectives: To demonstrate the surgical steps of a laparoscopic repair with mesh of a perineal hernia. Materials and Methods: A video presentation showing the laparoscopic repair of a recurrent perineal hernia Main outcomes measures: A 46-year-old woman with a prior history of a primary perineal hernia repair had complaints of a symptomatic vulvar bulge. Pelvic magnetic resonance imaging showed a 5 cm hernia sac at the right anterior pelvic wall containing adipose tissue. A laparoscopic perineal hernia repair was performed by dissection of the space of Retzius, reduction of the hernial sac, closure of the defect and mesh fixation. Results: The laparoscopic repair with mesh of a recurrent perineal hernia is demonstrated. Conclusion: We showed that the laparoscopic approach can be an effective and reproducible treatment for perineal hernia. Learning objective: Understanding of the surgical steps involved in the laparoscopic repair with mesh of a recurrent perineal hernia.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of an anterior perineal hernia: a video presentation

Furuie¹,

Quevedo²,

Tovar³

et al. 2023

Facts Views Vis ObGyn

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“…The publications on this subject are scarce and usually based on single or small case series. Incidence ranges between 0.6% and 7% ( 4 – 6 ). To our knowledge, there are no publications of anterior perineal hernia after radical cystectomy and urethrectomy.…”

Section: Discussionmentioning

confidence: 99%

Synthetic mesh repair of an anterior perineal hernia following robotic radical urethrocystectomy

et al. 2017

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Introduction:Perineal hernia is a protrusion of intra-abdominal viscera through a defect in the pelvic floor and is a rare but challenging complication after extensive abdominoperineal surgery. There have been small series published after colorectal exenteration, but no cases have been reported after radical cystectomy and urethrectomy.Case Presentation:A 68 years old woman developed an anterior perineal hernia, with no vaginal prolapse, after an anterior exenteration for bladder cancer. A perineal approach with the use of a synthetic polypropylene mesh was chosen to resolve the condition. After 6 months of follow-up, the patient has no symptoms or recurrence of the anterior perineal hernia.Conclusion:To our knowledge, this case is the first report of perineal hernia after radical urethrocystectomy. Although being a case report, this article describes a potential and challenging complication after extensive anterior pelvic surgery, that could increase its incidence in the future. Literature review shows that whether perineal, abdominal or combined approach is chosen, surgery must respect hernia repair principles.

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“…Reports of perineal hernias after urogynecologic surgery are rare [1], although some case reports have been documented after colpocleisis, with or without concomitant surgeries [2,3]. There is no consensus on standard care for perineal hernias.…”

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confidence: 99%