Laparoscopic repair of primary perineal hernias: the approach of choice in the 21st century

Sorelli, Paolo; Clark, SK; Jenkins, John T.

doi:10.1111/j.1463-1318.2011.02807.x

Cited by 16 publications

(6 citation statements)

References 3 publications

(5 reference statements)

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“…Sorelli et al recently reported THE advantages of the laparoscopic approach in perineal hernia repair. 7 Ghellai et al and Franklin et al reported a laparoscopic approach using such mesh for pelvic defect closure. 8,9 For repair, direct suturing is considered an effective option, but it should be used with care because of its associations with relapse.…”

Section: Discussionmentioning

confidence: 99%

“…Various approaches using mesh for closure of the pelvic defect have been reported for perineal hernia surgical repair, but the ideal approach has yet to be established. Sorelli et al recently reported THE advantages of the laparoscopic approach in perineal hernia repair . Ghellai et al and Franklin et al reported a laparoscopic approach using such mesh for pelvic defect closure .…”

Section: Discussionmentioning

confidence: 99%

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Primary anterior perineal hernia: A case report and review of the literature

Watanobe

Miyano

Machida

et al. 2020

Asian J Endoscop Surgery

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Perineal hernia is a type of pelvic floor hernia and an extremely rare pathologic state. Perineal hernias can be classified into anterior and posterior types according to their positional relationship to the superficial transverse perineal muscle. A 49-year-old woman presented with bulging of the right labium major while standing. Standing external ultrasonography revealed a mass in the bulge, which could not be identified by transvaginal ultrasonography, CT, or MRI. Although hernia content could not be identified preoperatively, the patient was given a diagnosis of primary perineal hernia and underwent laparoscopic repair. Symptoms resolved postoperatively, and no sign of relapse has been noted for 8 months postoperatively. Here, we report the case details and review previous case reports.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary anterior perineal hernia: A case report and review of the literature

Watanobe

Miyano

Machida

et al. 2020

Asian J Endoscop Surgery

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“…Laparoscopy is probably the most useful means of identifying a hernial defect and has the advantage of allowing immediate treatment[ 18 ]. The laparoscopic approach provides an excellent magnified view of the surgical field, is less invasive for patients and is associated with a shorter hospital stay[ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Mine disaster survivor’s pelvic floor hernia treated with laparoscopic surgery and a perineal approach: A case report

Chen

Lan

et al. 2020

WJCC

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BACKGROUND A pelvic floor hernia is defined as a pelvic floor defect through which the intraabdominal viscera may protrude. It is an infrequent complication following abdominoperineal surgeries. This type of hernia requires surgical repair by conventional or reconstructive techniques. The main treatments could be transabdominal, transperineal or a combination. CASE SUMMARY In this article, we present the case of a recurrent perineal incisional hernia, postresection of the left side of the pelvis, testis and lower limbs resulting from a mine disaster 18 years ago. Combined laparoscopic surgery with a perineal approach was performed. The pelvic floor defect was repaired by a biological mesh and one pedicle skin flap. No signs of recurrence were indicated during the 2 years of follow-up. CONCLUSION The combination of laparoscopic surgery with a perineal approach was effective. The use of the biological mesh and pedicle skin flap to restructure the pelvic floor was effective.

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“…The operation described employs two meshes to reconstitute the pelvic diaphragm and close the opening of the pelvic outlet while preventing contact between small bowel and the inferior mesh. Current techniques use a single mesh to occlude the defect in the pelvic diaphragm secondary to surgical dissection , but two meshes may be advantageous since single‐mesh repair has been reported to have a high recurrence rate. Thus in a report of 43 patients undergoing perineal hernia repair, recurrence after muscle flap repair and primary closure was 30% and 50%; it was only 20% after mesh repair .…”

Section: Discussionmentioning

confidence: 99%