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Updated: Mar 20, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Is there a place for a biological mesh in perineal hernia repair?
G D Musters1, O Lapid2, J Stoker3
1Department of Surgery, Academic Medical Centre, University of Amsterdam, G4, Post box 22660, 1105 AZ, Amsterdam, The Netherlands.
Purpose:
This study aimed to determine the outcome of perineal hernia repair with a biological mesh after abdominoperineal resection (APR).
Method:
All consecutive patients who underwent perineal hernia repair with a porcine acellular dermal mesh between 2010 and 2014 were included. Follow-up was performed by clinical examination and MRI.
Results:
Fifteen patients underwent perineal hernia repair after a median of 25 months from APR. Four patients had a concomitant contaminated perineal defect, for which a gluteal fasciocutaneous flap was added in three patients. Wound infection occurred in three patients. After a median follow-up of 17 months (IQR 12-24), a clinically recurrent perineal hernia developed in 7 patients (47 %): 6 of 11 patients after a non-cross-linked mesh and 1 of 4 patients after a cross-linked mesh (p = 0.57). Routine MRI at a median of 17 months revealed a recurrent perineal hernia in 7 of 10 evaluable patients, with clinical confirmation of recurrence in 5 of these 7 patients. No recurrent hernia was observed in the three patients with combined flap reconstruction for contaminated perineal defects.
Conclusion:
A high recurrence rate was observed after biological mesh repair of a perineal hernia following APR.
