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Published on: September 11, 2021
Recurrent perineal hernia repair: a novel approach
1Department of Obstetrics and Gynecology, University of Tennessee Medical Center, Knoxville, TN 37920, USA. jberendz@mc.utmck.edu
Summary
A novel synthetic mesh system, originally for pelvic organ prolapse, successfully treated recurrent perineal hernia in a male patient. This approach offers improved fixation and avoids abdominal surgery risks.
Area of Science:
- Surgical innovation in reconstructive urology and gynecology.
- Pelvic floor reconstruction and hernia repair.
Background:
- Postoperative perineal hernias are rare but serious complications following pelvic surgeries like abdominoperineal resection.
- Surgical repair options include abdominal, laparoscopic, and transperineal approaches, with no universally established gold standard.
Observation:
- A 70-year-old male patient with recurrent perineal hernia underwent a third surgical repair.
- The procedure utilized a synthetic mesh system designed for pelvic organ prolapse in women.
Findings:
- The patient achieved successful repair using an exclusive transperineal approach with the synthetic mesh.
- The mesh system provided improved fixation to pelvic ligaments, leading to a durable, symptom-free outcome over five years post-surgery.
Implications:
- This case demonstrates the potential efficacy of using a female-indicated pelvic organ prolapse mesh for male recurrent perineal hernia repair.
- The transperineal approach with this mesh offers advantages including reduced surgical risks, enhanced mesh fixation, and procedural versatility.
