Composite mesh and gluteal fasciocutaneous rotation flap for perineal hernia repair after abdominoperineal resection: a novel technique

被引:5
作者
Papadakis, Marios [1 ]
Huebner, Gunnar [1 ]
Bednarek, Marzena [1 ]
Arafkas, Mohamed [1 ]
机构
[1] Univ Hosp Witten Herdecke, Helios Klinikum Wuppertal, Dept Plast Reconstruct Aesthet & Hand Surg, Heusnerstr 40, D-42283 Wuppertal, Germany
关键词
Perineal hernia; Rotation flap; Composite mesh; Pelvic floor reconstruction; Abdominoperineal resection;
D O I
10.1007/s13304-017-0427-y
中图分类号
R61 [外科手术学];
学科分类号
摘要
Perineal hernia is an uncommon complication following abdominoperineal rectum resection. Several surgical procedures have been proposed for perineal hernia repair, including perineal, laparoscopic and abdominal approaches. Repair techniques can be classified into primary suture techniques, mesh placements and repairs with autogenous tissue. We report a 68-year-old man with a perineal hernia, who underwent a pelvic floor reconstruction with a transperineal composite mesh and a gluteal fasciocutaneous rotation flap. We conclude that a combined approach with transperineal mesh reconstruction and gluteal fasciocutaneous flap could be an alternative choice in perineal hernia repair after abdominoperineal resection.
引用
收藏
页码:109 / 111
页数:3
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