Prevention of perineal hernia after laparoscopic and robotic abdominoperineal resection: review with illustrative case series of internal hernia through pelvic mesh

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Prevention of perineal hernia after laparoscopic and robotic abdominoperineal resection: review with illustrative case series of internal hernia through pelvic mesh.

ABSTRACT This review is intended to raise awareness of placing a pelvic mesh to prevent perineal hernias in cases of minimally invasive (MIS) abdominoperineal resections (APR) and, in doing so, causing internal hernias through the mesh. In this article, we review the published literature and present an illustrative series of 4 consecutive cases of early internal hernia through a pelvic mesh def...

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Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection

A perineal hernia (PH) is formed by a protrusion of intra-abdominal viscera through a defect in the pelvic floor. This is a rare complication after a conventional abdominoperineal resection (APR). However, the risk of a PH may be increased after a laparoscopic resection because this technique can cause fewer postoperative adhesions, predisposing the small bowel to sliding down toward the pelvis...

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Perineal Hernia after Laparoscopic Abdominoperineal Resection for Rectal Cancer: A Case Report and Review of the Literature

Perineal hernias are uncommon complications following laparoscopic abdominoperineal operations. There is still very little known about perineal hernia. There are only few case reports to describe the repair of postoperative hernias after laparoscopic abdominoperineal resection (APR) in the literature. Here we present one patient with a perineal hernia after laparoscopic abdominoperineal resecti...

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Primary perineal posterior hernia: an abdominoperineal approach for mesh repair of the pelvic floor.

Spontaneous development of perineal hernias is a very rare condition and many techniques have been described for repairing the floor defect. The authors describe the use of a combined approach in the surgical treatment of primary perineal hernias, by reconstructing the muscle pelvic floor and restoring the rectum to its sacral position with mesh repair. The case of one patient with a huge prima...

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Biological mesh repair of a strangulated perineal hernia following abdominoperineal resection

Perineal hernia is a recognized but uncommon complication following proctectomy. Emergency presentations of this hernia are very rare and are not well described in the literature. We present the case of an 81-year-old lady who presented with small bowel obstruction with strangulation secondary to a perineal hernia 2 years after abdominoperineal resection for carcinoma of the rectum. At laparoto...

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ژورنال

عنوان ژورنال: Canadian Journal of Surgery

سال: 2016

ISSN: 0008-428X

DOI: 10.1503/cjs.003115