title: Reconstruction of parasacral hernia with acellular human dermis graft.
abstract: Parasacral hernias are defects through the pelvic floor which occur as the result of sacral resection. These defects are often large, and are frequently the result of treatment for sacral malignancies. This report documents the case of a 71-year-old woman who underwent radical coccygectomy and partial sacrectomy for a chordoma and subsequently presented 1 year later with a large parasacral hernia. The defect was repaired using an acellular human dermis graft with a gluteus maximus muscle-advancement flap overlay. This article summarizes the current literature of this challenging clinical problem, and examines the use of acellular human dermis in the repair of complex hernias.
authors.affiliation: Department of Surgery, University of South Carolina School of Medicine, 2 Med Park, Suite 402, Columbia, SC 29203, USA. bbrizen@gw.med.sc.edu
authors.forename: J B
authors.initials: JB
authors.lastname: Brizendine
authors.forename: J F
authors.initials: JF
authors.lastname: LeFaivre
authors.forename: M J
authors.initials: MJ
authors.lastname: Yost
authors.forename: S A
authors.initials: SA
authors.lastname: Fann
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery; D002817:Chordoma / Q000601:surgery; D005260:Female; D059685:Herniorrhaphy; D006801:Humans; D011183:Postoperative Complications; D012447:Sacrum / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*