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A case of successful laparoscopic intraperitoneal onlay mesh plus technique repair for perineal hernia after laparoscopic abdominoperineal resection
- Source :
- Asian Journal of Endoscopic Surgery. 15:197-200
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- The frequency of secondary perineal hernia after abdominoperineal resection has been reported as 0.83%-26%. The optimal surgery for secondary perineal hernia and surgical indication remains controversial. An 87-year-old woman diagnosed with lower rectal cancer underwent laparoscopic abdominoperineal resection. Follow-up computed tomography at 6 months postoperatively revealed secondary perineal hernia. She reported no discomfort and no incarceration was apparent, but she complained of perineal discomfort 3 months later. Laparoscopic repair surgery was performed using an intraperitoneal onlay mesh plus technique with VENTRALIGHT® ST mesh (Medicon, Osaka, Japan), a non-absorbable mesh with a biodegradable coating. No recurrence of peritoneal hernia was seen as of 3 months postoperatively. A time lag can exist between imaging findings and symptom appearance. This laparoscopic intraperitoneal onlay mesh plus technique might become the optimal treatment for perineal hernia.
Details
- ISSN :
- 17585910 and 17585902
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Endoscopic Surgery
- Accession number :
- edsair.doi...........22cb24908a3051ca51eabab5a01de2e3