Perineal hernia – different surgical approaches and treatment techniques. A

Wałecka, Joanna; Pokora, Wioleta; Śmietański, Maciej

doi:10.5114/wiitm.2011.20992

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…From an anatomical standpoint, the rectal sigmoid transition is located at the third sacral vertebra S3, and surgery is to limit the amount of promontory. The rectal passage of the anal canal is the height of the dentate line and surgically is located at the level of the levator ani muscle [3, 10]. …”

Section: Resultsmentioning

confidence: 99%

Definition of the rectum and level of the peritoneal reflection – still a matter of debate?

Kenig¹,

Richter²

2013

wiitm

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IntroductionPathological lesions of the rectum are common and their management requires detailed knowledge of pelvic anatomy. There has been considerable debate as to the definition of the rectum and the variability of the level of the peritoneal reflection. The lack of a clear consensus was proven in the research by McCullen et al. regarding the current pattern of practice for the investigation of primary rectal cancer by general surgeons.AimTo carry out bibliographic research on the definition of the rectum and level of the peritoneal reflection.Material and methodsA web-based published literature search of PubMed, Ovid Medline, Science Direct and Springer was made.ResultsThe paper presents the current definitions of proximal and distal margin of the rectum and level of peritoneal reflection based not only on the results of tests on cadavers but also on living humans.ConclusionsThe results of tests on living humans allow more accurate qualification of patients for local excision, which is particularly important for patients with colorectal cancer.

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Section: Resultsmentioning

confidence: 99%

Definition of the rectum and level of the peritoneal reflection – still a matter of debate?

Kenig¹,

Richter²

2013

wiitm

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“…An open transabdominal repair allows mobilization of herniating small bowel under direct vision and the ability to take down intra-abdominal adhesions that limit the maneuverability in other approaches. A newer laparoscopic transabdominal approach offers the same advantages of open transabdominal repair with fewer reported complications and less-invasive repairs when compared with other approaches [ 3 , 5 , 6 ]. A combined laparoscopic-perineal approach allows for excellent visualization, safe mobilization and easy reduction of herniating viscera, although the magnitude of this procedure is associated with higher morbidity [ 1 , 5 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Pararectal hernia: literature review and surgical repair techniques in the era of robotic surgery

Glanzer

O’Neil²,

Turaihi

2021

Journal of Surgical Case Reports

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A pelvic hernia is the protrusion of intraperitoneal or extraperitoneal contents into the perineum through a defect in the pelvic floor. Pelvic hernias are rare with no gold standard method for repair. After abdominoperineal resection, a commonly cited incidence of perineal hernia is 1%. Here, we describe a robotic repair of a pararectal hernia in a post-menopausal women presenting with rectal herniation through a pelvic floor defect causing issues with fecal urgency and incontinence.

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Perineal hernia – different surgical approaches and treatment techniques. A

Abstract: A b s t r a c t

Cited by 2 publications

References 7 publications

Definition of the rectum and level of the peritoneal reflection – still a matter of debate?

Definition of the rectum and level of the peritoneal reflection – still a matter of debate?

Pararectal hernia: literature review and surgical repair techniques in the era of robotic surgery

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