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Related Concept Videos

Hiatal Hernia01:25

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A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
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Related Experiment Video

Updated: Jun 23, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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Perineal hernia: a case of outlet dysfunction.

Lino Succi1, Nnawuihe Luca Ohazuruike, Conchita Emanuela Oliveri

  • 1Department of Surgical Sciences, Organ Transplantation and Advanced Technology, Division of General Surgery, Cannizzaro Hospital, Catania.

Chirurgia Italiana
|April 28, 2009
PubMed
Summary

A rare primary posterior perineal hernia causing outlet dysfunction was successfully treated surgically. This case highlights effective surgical correction for pelvic floor disorders and functional defects.

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Area of Science:

  • Gastroenterology and Surgical Innovation

Background:

  • Primary posterior perineal hernia is an uncommon condition.
  • Outlet dysfunction can significantly impact quality of life.

Observation:

  • A 46-year-old female presented with a 6 cm para-anal protrusion and a 7-year history of outlet dysfunction.
  • Surgical intervention involved abdominal closure of the hernia orifice with mesh and a rectopexy.

Findings:

  • The patient experienced initial improvement in outlet dysfunction following the primary surgery.
  • A subsequent prolassectomy was required to address a hidden rectal prolapse identified during follow-up.

Implications:

  • Surgical repair of primary posterior perineal hernia can effectively treat outlet dysfunction.
  • Comprehensive evaluation is crucial to identify and manage associated pelvic floor pathologies, such as rectal prolapse.