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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Recurrent postoperative perineal hernia: laparoscopic redo mesh repair
A G Portilla1, E Martín, C M de Lecea
1Department of Surgery, Hospital San José, Vitoria, Spain. agomezpor@teleline.es
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|October 24, 2009
Summary
Symptomatic perineal hernia after abdominoperineal resection is a rare complication. This report details a second case of recurrent hernia after laparoscopic mesh repair, highlighting management challenges.
Area of Science:
- Surgical complications
- Gastrointestinal surgery
- Pelvic floor disorders
Background:
- Perineal herniation is a rare complication following abdominoperineal resection.
- Management of symptomatic perineal hernias presents significant challenges.
- Recurrence after surgical repair necessitates complex treatment strategies.
Observation:
- This study reports on a patient experiencing recurrent symptomatic perineal hernia.
- The patient had a prior laparoscopic mesh repair for the initial hernia.
- This represents the second documented case of recurrent perineal hernia after laparoscopic mesh repair in English literature.
Findings:
- Redo laparoscopic mesh repair was performed for the recurrent perineal hernia.
- The procedure was technically feasible, addressing the complex anatomical defect.
- No standardized "gold standard" treatment exists for recurrent cases.
Implications:
- This case contributes to the limited literature on managing recurrent perineal hernias post-abdominoperineal resection.
- Further research is needed to establish optimal surgical techniques and long-term outcomes.
- Highlights the need for careful patient selection and surgical planning in complex hernia repairs.
