Repair of symptomatic perineal hernia with a titanium mesh

Abstract

Our successful preliminary results indicate that a titanium mesh is useful for perineal hernia repair by the perineal approach, as it can provide rigid support for the pelvic floor by its entire surface while ensuring stability without any fixation.

Perineal Hernia After Abdominoperineal Laparoscopic Resection – Case Report

“…The diagnosis of perineal hernia can be difficult unless significant signs and symptoms become evident. The physician should have a high index of suspicion in patients presenting with perineal pain, even if no bulging mass is discovered with herniagraphy, CT, barium enema studies and dynamic magnetic resonance imaging [9]. The indication for repair of perineal hernias is patient discomfort while sitting, skin erosion, intestinal obstruction, and dysuria.…”

“…Although various approaches for perineal hernia repair have been proposed, there is no consensus on the optimal technique. Current management options include abdominal, perineal and combined approaches [9,10]. However, the reported recurrence rates after perineal repair are high, ranging from 16% [11] to 25% [12], 37% [13] and even 100% [1].…”

Open transperineal anterior perineal hernia repair

“…Although primary or congenital forms do exist, perineal hernias are usually secondary to preceding perineal trauma or surgery . While an array of surgical methods of repair have been described, from simple closure of the defect, fascia lata grafts, synthetic or biological mesh repairs to titanium mesh repairs, no definitive ‘gold‐standard’ technique has been established . Given the limited available evidence, we would like to report the case of a 57‐year‐old woman who received a triple layer transperineal mesh repair of a symptomatic anterior perineal hernia, in the setting of prior anterior pelvic exenteration for rare periurethral mucinous adenocarcinoma.…”