Mesh-Based Transperineal Repair of a Perineal Hernia After a Laparoscopic Abdominoperineal Resection
이택구, 이상전,
소속 상세정보
이택구 ( Lee Taek-Gu )
Chungbuk National University College of Medicine Department of Surgery
이상전 ( Lee Sang-Jeon )
Chungbuk National University College of Medicine Department of Surgery
KMID : 0356720140300040197
Abstract
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.
키워드
Perineal hernia;Laparoscopic abdominoperineal resection;Synthetic mesh;Transperineal approach
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