Laparoscopic repair of a large perineal hernia after laparoscopic abdominoperineal resection: A case report

被引：6

作者：

Kakiuchi, Daiki ^{[1
]}

Saito, Kenichiro ^{[1
]}

Mitsui, Takeshi ^{[1
]}

Munemoto, Yoshinori ^{[1
]}

Takashima, Yoshihiro ^{[1
]}

Amaya, Susumu ^{[1
]}

Shimada, Masanari ^{[1
]}

Kato, Yosuke ^{[1
]}

机构：

[1] Fukuiken Saiseikai Hosp, Dept Surg, 7-1 Funahashi,Wadanaka Machi, Fukui 9188503, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2019年 / 12卷 / 02期

关键词：

Laparoscopic abdominoperineal resection; laparoscopic mesh repair; perineal hernia;

D O I：

10.1111/ases.12612

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A 75-year-old woman underwent laparoscopic abdominoperineal resection. Fourmonths after abdominoperineal resection, the patient complained of a perineal bulge and urination disorder. Abdominal CT showed protrusion of the small intestine and bladder to the perineum. The patient underwent laparoscopic hernia repair with mesh. The size of the hernial orifice was 7.0x9.0cm, and it had no solid rim. The mesh was tacked ventrally to the pectineal ligament and dorsally to the sacrum, and then sutured on the lateral side. The hernia has not recurred 10months after the operation. Laparoscopic repair is a good treatment choice for secondary perineal hernia and fixing the mesh to the pectineal ligament, and the sacrum prevents the mesh from sagging.

引用

页码：204 / 206

页数：3

共 10 条

[1] Perineal hernia after proctectomy: Prevalence, risks, and management [J].

Aboian, E. ;

Winter, D. C. ;

Metcalf, D. R. ;

Wolff, B. G. .

DISEASES OF THE COLON & RECTUM, 2006, 49 (10) :1564-1568

[2] Perineal hernia as a rare complication after laparoscopic abdominoperineal resection: Report of a case [J].

Akatsu, Tomotaka ;

Murai, Shinji ;

Kamiya, Satoshi ;

Kojima, Kenji ;

Mizuhashi, Yoshikazu ;

Hasegawa, Hirotoshi ;

Kitagawa, Yuko .

SURGERY TODAY, 2009, 39 (04) :340-343

[3] Incidence and management of perineal hernia after laparoscopic proctectomy [J].

de Campos, FGCM ;

Habr-Gama, A ;

Araújo, SE ;

Sousa, AHDE ;

Nahas, CR ;

Lupinacci, RM ;

Nahas, SRC ;

Kiss, DR ;

Gama-Rodrigues, D .

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2005, 15 (06) :366-370

[4] PERINEAL HERNIA FOLLOWING ABDOMINOPERINEAL RESECTION [J].

HULLSIEK, HE .

AMERICAN JOURNAL OF SURGERY, 1956, 92 (05) :735-738

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

Melich, George ;

Lim, Dae Ro ;

Hur, Hyuk ;

Min, Byung Soh ;

Baik, Seung Hyuk ;

Arena, Goffredo O. ;

Gordon, Philip H. ;

Kim, Nam Kyu .

CANADIAN JOURNAL OF SURGERY, 2016, 59 (01) :54-58

[6] Perineal hernia repair after abdominoperineal resection: a pooled analysis [J].

Mjoli, M. ;

Sloothaak, D. A. M. ;

Buskens, C. J. ;

Bemelman, W. A. ;

Tanis, P. J. .

COLORECTAL DISEASE, 2012, 14 (07) :E400-E406

[7] PELVIC EXENTERATION - ANALYSIS OF 296 PATIENTS [J].

RUTLEDGE, FN ;

SMITH, JP ;

WHARTON, JT ;

OQUINN, AG .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1977, 129 (08) :881-892

[8] Postoperative perineal hernia [J].

So, JBY ;

Palmer, MT ;

Shellito, PC .

DISEASES OF THE COLON & RECTUM, 1997, 40 (08) :954-957

[9] Perineal hernia after laparoscopic abdominoperineal resection for rectal cancer: Report of two cases [J].

Veenhof, Alexander A. F. A. ;

van der Peet, Donald L. ;

Cuesta, Miguel A. .

DISEASES OF THE COLON & RECTUM, 2007, 50 (08) :1271-1274

[10]

Yeoman FC., 1939, AM J SURG, V43, P695, DOI [10.1016/S0002-9610(39)90626-4, DOI 10.1016/S0002-9610(39)90626-4]

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