title: Use of bone anchors in perineal hernia repair: a practical note.
abstract: BACKGROUND
  Bone anchoring systems are used extensively in orthopaedic surgery but have scarcely been reported as useful in abdominal wall or perineal hernia repair. After coccygectomy or sacrectomy the development of bowel herniation is not uncommon. Considering repair of such a perineal hernia, adequate fixation of the prosthetic mesh is difficult and, therefore, recurrence is rather frequent, mostly due to insufficient anchoring of the mesh to the bony structures.
  
  
  METHODS
  We discuss a patient in which the Mitek GII anchoring system was used to overcome the problem of soft-tissue-to-bone attachment in such cases.
  
  
  CONCLUSIONS
  Bone anchoring systems seem to be an efficient method to overcome the problems of soft-tissue-to bone attachment in both abdominal and perineal hernia repair.
authors.affiliation: Department for General, Hepatobiliary Surgery and Transplantation, University Hospital of Ghent, De Pintelaan 185, 9000, Ghent, Belgium. Fberrevoet@hotmail.com
authors.forename: Frederik
authors.initials: F
authors.lastname: Berrevoet
authors.forename: Piet
authors.initials: P
authors.lastname: Pattyn
mesh_terms: D000368:Aged; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D010502:Perineum; D019736:Prostheses and Implants; D012445:Sacrococcygeal Region; D013526:Surgical Mesh