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Recurrent Anterior Vaginal Wall Hernia after a Radical Cystectomy
Omar Felipe Dueñas-Garcia1, Kristan Hornsby1
1Obstetrics and Gynecology Department, West Virginia University, Morgantown, West Virginia, USA.
Case Reports in Urology
|April 8, 2020
Summary
Pelvic floor hernias are rare complications following extensive pelvic surgery. This case highlights prosthetic mesh repair as a successful treatment for persistent hernias after native tissue repair failure.
Area of Science:
- Surgical oncology
- Pelvic reconstructive surgery
- Hernia repair
Background:
- True pelvic floor hernias are uncommon sequelae of extensive pelvic surgeries like radical cystectomies and pelvic exenteration.
- These complex anatomical defects pose significant challenges in surgical management.
Observation:
- A patient presented with a recurrent pelvic floor hernia following prior failed native tissue repair.
- The persistent hernia significantly impacted the patient's quality of life and functional status.
Findings:
- Surgical intervention was necessary due to the failure of conservative and reconstructive attempts.
- A prosthetic mesh implant was utilized for definitive surgical repair, successfully addressing the hernia.
Implications:
- This case underscores the utility of prosthetic mesh in managing complex pelvic floor hernias refractory to other methods.
- It suggests that mesh repair can be a viable option for achieving durable outcomes in challenging hernia cases post-pelvic exenteration or cystectomy.
