Recurrent perineal hernia repair: perineal approach - a video vignette

This video shows an open recurrent perineal hernia repair with mesh through a perineal approach. The patient is a 57-year-old female known to have a retro-rectal neuroendocrine tumour resected in 2015 using a perineal approach with coccygectomy. In 2017 she was treated for a local recurrence, by a conventional abdominoperineal excision (cAPE) and primary closure.