Repair of a coccygeal hernia with a biological mesh

Abstract

HighlightsWe present a case of coccygeal hernation after coccygectomy.Hernia repair was performed with a biological mesh via an direct approach.Only 8 other cases could be identified in literature.

Laparoscopic repair of coccygeal hernia with biological mesh following partial coccygectomy

“…We chose the laparoscopic trans‐abdominal approach for the reasons being that in previous case reports for coccygectomy and coccygeal hernia repair, wound infection secondary to operating near the perianal region is of concern, particularly when placing a mesh 5 . Second, scar tissue formation in the perineum can result in chronically painful scars which can be difficult to treat.…”

“…We chose the laparoscopic trans-abdominal approach for the reasons being that in previous case reports for coccygectomy and coccygeal hernia repair, wound infection secondary to operating near the perianal region is of concern, particularly when placing a mesh. 5 Second, scar tissue formation in the perineum can result in chronically painful scars which can be difficult to treat. Finally, the surgeons performing this repair were colorectal specialist trained surgeons and this approach to the hernia utilized positioning, dissection planes and instruments all familiar to the colorectal surgeons' armamentarium.…”