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Central perineal hernia mimicking rectocele: a case report
Dirk Weyhe1, Bruno Geier, Orlin Belyaev
1Department of Surgery, St. Josef Hospital-University Medical Center, Ruhr University Bochum, Bochum, Germany. d.weyhe@elis-stiftung.de
Langenbeck'S Archives of Surgery
|November 2, 2005
Summary
Central perineal hernias are rare and difficult to diagnose. Surgical repair using a tension-free polypropylene mesh is effective for large hernias, offering a successful treatment option.
Area of Science:
- Surgical Gastroenterology
- Pelvic Floor Surgery
Background:
- Perineal hernias are rare, with central types posing diagnostic challenges.
- Central perineal hernias are sometimes misdiagnosed as posterior rectocele.
Observation:
- A 67-year-old female presented with a symptomatic central pelvic floor hernia.
- Radiological confirmation preceded surgical intervention.
- A transperitoneal approach was used for small bowel repositioning.
Findings:
- The hernial orifice was repaired with an extraperitoneal polypropylene mesh.
- Laparoscopic techniques were deemed unsuitable due to hernia extension.
- The repair followed tension-free principles.
Implications:
- Nonabsorbable polypropylene mesh is recommended for reinforcing large perineal hernias.
- Total extraperitoneal mesh implantation is advised when feasible.
- This technique offers a suitable repair for large central perineal hernias.