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.
Abstract:
This article describes and discusses a successfully treated case of a primary posterior perineal hernia which is a rare cause of outlet dysfunction. A 46-year-old female patient had a 6 cm left para-anal protrusion and a 7-year history of outlet dysfunction. The perineal hernia orifice was closed via an abdominal approach using both a polypropylene mesh and a Parietex Composite Net. A rectopexy to the promontory of the sacrum was then performed. Moreover, after 6 months' follow-up, the patient presented a sense of incomplete evacuation and underwent a prolassectomy to treat a hidden rectal prolapse. This clinical case shows that the surgical treatment of a pelvic pathology can be successful for the correction of a serious functional defect such as outlet dysfunction.
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