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

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

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 ante...

Laparoscopic Radical Prostatectomy Following Laparoscopic Bilateral Mesh Hernia Repair

Laparoscopic mesh hernia repair is an effective form of management of inguinal hernias. Polypropylene mesh is generally placed at the internal rings extending across the midline resulting in an intense fibrotic reaction that can make subsequent radical retropubic prostatectomy and lymphadenectomy difficult. We report the first case of laparoscopic radical prostatectomy following laparoscopic bi...

Perineal Hernia Repair

Repair of Perineal Hernia Following Abdominoperineal Excision with Biological Mesh: A Systematic Review

INTRODUCTION Perineal hernia (PerH) following abdominoperineal excision (APE) procedure is a recognized complication. PerH was considered an infrequent complication of APE procedure; however, PerH rates of up to 45% have been reported in recent publications following a laparoscopic APE procedure. Various methods of repair of PerH with the use of synthetic meshes or myocutaneous flap have been d...

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...