TY - JOUR
T1 - Laparoscopic repair with cone-shaped mesh implantation for perineal hernia occurred after laparoscopic abdominoperineal resection
AU - Teramura, Koichi
AU - Watanabe, Yusuke
AU - Takeuchi, Shintaro
AU - Nakamura, Fumitaka
AU - Hirano, Satoshi
N1 - Publisher Copyright:
© 2018 The Author(s)
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Introduction: Perineal hernia after abdominoperineal resection (APR) is a rare complication, and no standard surgical procedures are established. We describe a simple laparoscopic mesh implantation technique utilizing a large synthetic flat mesh. Presentation of Case: We report a case of perineal hernia after APR. We performed laparoscopic repair using a soft and large synthetic mesh with simple technique. The essence of this technique is that mesh is inserted into the abdominal cavity without trimming and it forms in a conical shape to better adjust to the pelvic cavity. Discussion: The perineal and laparoscopic approaches for perineal hernia repair have been performed most commonly in recent years, but the recurrence rate after repair remains high (24.1%). Using a large mesh could cover the hernial orifice with a sufficient margin, reducing a risk of recurrence caused by shrinkage and slippage of the mesh. Conclusion: Our technique utilizing a large, lightweight, synthetic mesh can be practical and useful for perineal hernia repair after laparoscopic APR.
AB - Introduction: Perineal hernia after abdominoperineal resection (APR) is a rare complication, and no standard surgical procedures are established. We describe a simple laparoscopic mesh implantation technique utilizing a large synthetic flat mesh. Presentation of Case: We report a case of perineal hernia after APR. We performed laparoscopic repair using a soft and large synthetic mesh with simple technique. The essence of this technique is that mesh is inserted into the abdominal cavity without trimming and it forms in a conical shape to better adjust to the pelvic cavity. Discussion: The perineal and laparoscopic approaches for perineal hernia repair have been performed most commonly in recent years, but the recurrence rate after repair remains high (24.1%). Using a large mesh could cover the hernial orifice with a sufficient margin, reducing a risk of recurrence caused by shrinkage and slippage of the mesh. Conclusion: Our technique utilizing a large, lightweight, synthetic mesh can be practical and useful for perineal hernia repair after laparoscopic APR.
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U2 - 10.1016/j.ijscr.2018.06.032
DO - 10.1016/j.ijscr.2018.06.032
M3 - Article
AN - SCOPUS:85049428331
SN - 2210-2612
VL - 49
SP - 115
EP - 117
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -