Repairing perineal hernia

Conner, Caroline A.; Noblett, Karen; Lane, Felicia

doi:10.1016/j.ajog.2007.08.057

Cited by 12 publications

(3 citation statements)

References 2 publications

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“…Risk factors for this type of hernia include extensive pelvic surgery, pelvic exenteration, failure to reapproximate the levator ani muscles, and tobacco use [5,6]. In our case, the extensive surgery and debilitated tissue were the possible risk factors for recurrence.…”

Section: Discussionmentioning

confidence: 62%

Recurrent Anterior Vaginal Wall Hernia after a Radical Cystectomy

Dueñas-García

Hornsby

2020

Case Reports in Urology

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Section: Discussionmentioning

confidence: 62%

Recurrent Anterior Vaginal Wall Hernia after a Radical Cystectomy

Dueñas-García

Hornsby

2020

Case Reports in Urology

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“…Based in digestive surgery literature ( 2 , 3 , 8 ), a variety of methods for repair have been described, most as isolated case reports or small case series because of the relative infrequency of the condition.…”

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%