Surgisis mesh repair of a postsacrectomy perineal hernia along with posterior proctosigmoidectomy for concomitant stricture.
Postsacrectomy hernias are uncommon and can present with different signs and symptoms, including constipation, fecal incontinence, bowel obstruction, pain, and posterior bulging. We report a 50-year-old man who underwent sacrectomy for malignant fibrosarcoma complicated with sacral hernia. He presented with obstructive symptoms resulting from a strictured segment of herniated sigmoid colon and underwent bowel resection along with repair of his hernia. We additionally present a review of the literature and treatment of this rare disease.
Al-Haddad
Abdullah A
AA
Department of Surgery, Division of Colon and Rectal Surgery, DeWitt Daughtry Family Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. hadad006@yahoo.com
Hellinger
Michael D
MD
Akerman
Sarah C
SC
D001859:Bone Neoplasms / Q000556:secondary / Q000601:surgery; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D018223:Dermatofibrosarcoma / Q000556:secondary / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects; D010502:Perineum; D019651:Plastic Surgery Procedures / Q000379:methods*; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D012447:Sacrum / Q000601:surgery*; D012812:Sigmoidoscopy; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed