La presencia de hernia perineal secundaria supone un reto para el cirujano cuando requiere reparación quirúrgica ya que no hay una vía de abordaje o técnica superior a otra. Mostramos nuestra experiencia con esta entidad, secundaria a Operación de Miles. Entre 2005 y 2021, de 23 resecciones radicales llevadas a cabo, 2 pacientes (8,6%) presentaron hernia perineal secundaria sintomática que requirieron reparación. De nuestros pacientes reconstruidos, un hombre fue abordado por vía perineal y una mujer por vía abdominal laparoscópica. En ambos casos se reforzó el piso pelviano con malla con buena evolución postoperatoria, sin presentar recurrencia a 12 meses. Esta entidad es infrecuente, sinembargo su incidencia parece aumentar. Cuando necesita resolución se puede abordar por vía perineal, abdominal o combinada con similares resultados. El uso de mallas reemplazó a la sutura primaria de la brecha. La profilaxis es importante, aunque faltan estudios que determinen su real utilidad
Cutaneous endometriosis is a rare condition but represents the most common extrapelvic location. Primary cutaneous endometriosis may develop in the umbilicus, perianal region or inguinal region. We report the case of a female patient with a diagnosis of Villar’s nodule that was successfully treated with surgery. The pathophysiology of this entity is not well defined yet. The clinical suspicion is fundamental for the diagnosis. Complementary imaging test are used to rule out the differential diagnoses. Surgery is indicated in all the cases. The prognosis is favorable in most cases, with low rate of recurrence.
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