Primary perineal hernia: a case report and review of the literature

Abstract

The literature shows many different approaches for treatment of perineal hernia, such as open or laparoscopic mesh repair, and perineal, abdominal or combined access. Our case confirms that primary closure of the hernial orifice through an abdominal approach is also feasible.

Perineal hernias in children: Case report and review of the literature

“…Hernias of the pelvic floor are extremely rare, [1,2] and they include in order of decreasing frequency: obturator, perineal and sciatic hernias. [3,4] Among the perineal hernias, an anterior and a posterior form can be delineated [ Figure 1] based on their position relative to the transverse perineii muscle.…”

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

“…The orifi ce of the anterior form is located in the urogenital diaphragm, so clinical manifestation is a prolapse in the area of the labia. 9 The posterior form is rarer, and the orifi ce is located either in the levator ani muscle itself or between the levator ani muscle and the coccygeus muscle, so clinical manifestation is a unilateral bulging of the gluteal or perineal region, as seen in our patient. 8,9 If the hernia remains midline, it may pass forward into the vaginal wall or posteriorly into the rectum.…”

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

“…They include abdominal and perineal approaches with varying methods of closure. Classically open abdominal, perineal or combined abdominoperineal approaches have been advocated and the use of mesh reinforcement or primary suture repair alone for smaller defects have been described with successful results [3]. For an uncomplicated primary perineal hernia, however, laparoscopic repair is technically easy and is associated with rapid recovery and minimal complications.…”