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[Perineal hernia after rectal extirpation]

H M Rasmussen1, H J Frederiksen

  • 1Mave-tarmkirurgisk afsnit, kirurgisk afdeling K, Bispebierg Hospital, København.

Ugeskrift for Laeger
|September 6, 1993
PubMed
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Perineal hernia is a rare complication following rectal extirpation, often presenting as discomfort and bulging within a year. Transabdominal repair with mesh is recommended for effective treatment of this post-surgical condition.

Area of Science:

  • Colorectal Surgery
  • Surgical Complications
  • Pelvic Floor Disorders

Background:

  • Perineal hernia is an uncommon consequence of abdominoperineal rectal extirpation.
  • Symptoms typically manifest as perineal discomfort and visible bulging.
  • The onset of this hernia usually occurs within one year post-surgery.

Observation:

  • The development of perineal hernia necessitates careful surgical technique during the closure of the peritoneum and muscular layers into the pelvic cavity.
  • Various surgical repair methods have been documented in medical literature.
  • The authors advocate for a transabdominal surgical approach.

Findings:

  • A transabdominal approach, potentially incorporating a synthetic mesh, is recommended for perineal hernia repair.

Related Experiment Videos

  • In cases with compromised perineal skin integrity, a combined transabdominal and perineal surgical approach is advised.

    • Implications:

    • This study highlights the importance of meticulous surgical closure to prevent perineal hernia post-rectal extirpation.
    • The recommended transabdominal repair with mesh offers a viable solution for managing this rare complication.
    • Combined surgical approaches may be necessary for complex cases involving skin damage, improving patient outcomes.