Secondary perineal hernia following open abdominoperineal excision of the rectum: Report of a case and review of the literature

被引：35

作者：

Skipworth R.J.E. ^{[1
]}

Smith G.H.M. ^{[1
]}

Anderson D.N. ^{[1
,2
]}

机构：

[1] Department of Surgery, University Hospitals Division, Western General Hospital, Edinburgh EH4 2XU, Crewe Road

[2] St. John's Hospital, Livingston

来源：

Hernia | 2007年 / 11卷 / 6期

关键词：

Abdominoperineal excision of rectum; Chemotherapy; Mesh; Pelvic floor; Perineal hernia; Radiotherapy;

D O I：

10.1007/s10029-007-0234-3

中图分类号：

学科分类号：

摘要：

This is a case report of a 46-year-old man who presented with a painful perineal lump four months after abdominoperineal excision of the rectum (APER) with pre-operative radiotherapy and adjuvant chemotherapy. Perineal hernia (suspected clinically) was confirmed by magnetic resonance imaging, and the patient underwent open Permacol mesh repair via a perineal approach. Symptomatic perineal herniation after surgical resection is a rare phenomenon, and the approach to management remains challenging. Several different surgical approaches and techniques of repair have been described. In this report, we review the literature surrounding the presentation, aetiology and repair of this unusual post-operative complication. Furthermore, our case confirms that closure of the hernial orifice with mesh via a perineal approach is a satisfactory technique. © Springer-Verlag 2007.

引用

页码：541 / 545

页数：4

共 20 条

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