Central perineal hernia mimicking rectocele: a case report

Abstract

In the present case, the use of a laparoscopic technique seemed unsuitable due to the extension of the findings. For the repair of perineal hernia, we followed the principles of the "tension-free" concept. If there are no signs of a pelvic floor infection and if the mesh can be implanted totally extraperitoneally, we recommend the use of nonabsorbable alloplastic material (polypropylene) for reinforcement of the pelvic floor as a suitable technique for the repair of large perineal hernias.

Using the uterus to close a pelvic defect after primary perineal posterior hernia repair: Report of a case

“…An upright position during the examination enables the identifi cation and anatomic association of the protruded bowel segment. 15 Repair of a perineal hernia is a challenging surgical problem and while various methods have been described, the ideal approach has yet to be established. 6,16 This might be attributed to the complex anatomy of the pelvic fl oor.…”