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. However, only a few case reports describe the transperineal approach for the repair of a PH after a laparoscopic APR. We present a case of a PH after a laparoscopic APR; the PH was repaired with synthetic mesh by using a transperineal approach. A transperineal approach using a mesh to reconstruct the pelvic floor is less invasive and more effective. We suggest that this technique should probably be the first choice for treating an uncomplicated PH that occurs after a laparoscopic APR.

Citations

Citations to this article as recorded by  

• Perineal hernia after abdominoperineal resection – a systematic review
  Sajad Ahmad Salati, Amr Y. Arkoubi
  Polish Journal of Surgery.2022; 94(6): 61.     CrossRef
• The impact of laparoscopic technique on the rate of perineal hernia after abdominoperineal resection of the rectum
  Anna J. Black, Ahmer Karimuddin, Manoj Raval, Terry Phang, Carl J. Brown
  Surgical Endoscopy.2021; 35(6): 3014.     CrossRef
• The Application of Extraperitoneal Ostomy Combined with Pelvic Peritoneal Reconstruction in Laparoscopic Abdominoperineal Resection for Rectal Cancer
  Sen Wang, Qingyang Meng, Jun Gao, Yuqin Huang, Jie Wang, Yang Chong, Youquan Shi, Huaicheng Zhou, Wei Wang, Dong Tang, Daorong Wang
  Gastroenterology Research and Practice.2019; 2019: 1.     CrossRef
• Perineal hernia mesh repair: a fixation with glue, sutures and tacks. How to do it 
  L. Hassan, A. Beunis, M. Ruppert, V. Dhooghe, S. Van den Broeck, G. Hubens, N. Komen
  Acta Chirurgica Belgica.2019; 119(6): 406.     CrossRef
• Case report of perineal hernia after laparoscopic abdominoperineal resection
  Kumpei Honjo, Kazuhiro Sakamoto, Shunsuke Motegi, Ryoichi Tsukamoto, Shinya Munakata, Kiichi Sugimoto, Hirohiko Kamiyama, Makoto Takahashi, Yutaka Kojima, Tetsu Fukunaga, Yoshiaki Kajiyama, Seiji Kawasaki
  Asian Journal of Endoscopic Surgery.2018; 11(2): 173.     CrossRef
• Transvaginal Small Bowel Evisceration following Abdominoperineal Resection
  Enver Kunduz, Huseyin Bektasoglu, Samet Yigman, Huseyin Akbulut
  Case Reports in Surgery.2018; 2018: 1.     CrossRef
• Composite mesh and gluteal fasciocutaneous rotation flap for perineal hernia repair after abdominoperineal resection: a novel technique
  Marios Papadakis, Gunnar Hübner, Marzena Bednarek, Mohamed Arafkas
  Updates in Surgery.2017; 69(1): 109.     CrossRef
• Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature
  A. Balla, G. Batista Rodríguez, N. Buonomo, C. Martinez, P. Hernández, J. Bollo, E. M. Targarona
  Techniques in Coloproctology.2017; 21(5): 329.     CrossRef
• Short-term Outcomes of an Extralevator Abdominoperineal Resection in the Prone Position Compared With a Conventional Abdominoperineal Resection for Advanced Low Rectal Cancer: The Early Experience at a Single Institution
  Seungwan Park, Hyuk Hur, Byung Soh Min, Nam Kyu Kim
  Annals of Coloproctology.2016; 32(1): 12.     CrossRef