title: [Perineal incisional hernia following rectal resection. Diagnostic and management].
abstract: Postoperative perineal hernia is a rare complication following abdominoperineal excision of the rectum. We report four cases illustrating its clinical presentation and modern management. Surgical technique for rectal excision and perineal closure, making of an epiplooplasty, postoperative infection may contribute to the occurrence of this complication. Mesh repair through an anterior open or laparoscopic abdominal approach is one of the surgical options if not contraindicated by age and/or general condition. Perineal or combined approaches can also be selected to solve this difficult problem.
authors.affiliation: Clinique chirurgicale 2, pôle digestif, Hôtel-Dieu, CHU de, Nantes, France.
authors.forename: F
authors.initials: F
authors.lastname: Villar
authors.forename: E
authors.initials: E
authors.lastname: Frampas
authors.forename: E
authors.initials: E
authors.lastname: Mirallié
authors.forename: L
authors.initials: L
authors.lastname: Potiron
authors.forename: R
authors.initials: R
authors.lastname: Villet
authors.forename: P-A
authors.initials: PA
authors.lastname: Lehur
mesh_terms: D000368:Aged; D005260:Female; D006547:Hernia / Q000209:etiology* / Q000473:pathology; D006801:Humans; D010502:Perineum / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000473:pathology; D012007:Rectum / Q000601:surgery*; D013526:Surgical Mesh