OC-097 A THREE LAYERED REPAIR OF A LARGE PERINEAL HERNIA- CASE REPORT AND REVIEW OF THE LITERATURE

Abstract Background A symptomatic perineal hernia is an uncommon complication after abdominoperineal resection (APR). Repairs of such hernias can be achieved by usage autologous flaps, synthetic mesh or biologic mesh. Studies have shown that prophylactic repair the pelvic floor with mesh, reduces incidence hernia. Data methods are scarce and poor quality. Aim In this paper we aim to share our experience using a non-conventional technic for hernia, as it appears surgical challenge without clear evidence based recommended technique. Methods 71-year-old woman, extended APR primary closure biosynthetic absorbable presented clinic symptomatic, extensive The patient underwent open reconstruction composite in underlay intraperitoneal position bilateral gluteal muscle flap closure. Results post-operative-day 11 developed fluid collection site infection. was surgically drained showing negative bacteria antibiotic treatment initiated. 3 months surgery wound had completely healed CT scan showed no recurrence Conclusion Considering increased superiority minimizing rates- might justified.