Perineal hernia: a case of outlet dysfunction.
This article describes and discusses a successfully treated case of a primary posterior perineal hernia which is a rare cause of outlet dysfunction. A 46-year-old female patient had a 6 cm left para-anal protrusion and a 7-year history of outlet dysfunction. The perineal hernia orifice was closed via an abdominal approach using both a polypropylene mesh and a Parietex Composite Net. A rectopexy to the promontory of the sacrum was then performed. Moreover, after 6 months' follow-up, the patient presented a sense of incomplete evacuation and underwent a prolassectomy to treat a hidden rectal prolapse. This clinical case shows that the surgical treatment of a pelvic pathology can be successful for the correction of a serious functional defect such as outlet dysfunction.
Succi
Lino
L
Department of Surgical Sciences, Organ Transplantation and Advanced Technology, Division of General Surgery, Cannizzaro Hospital, Catania.
Ohazuruike
Nnawuihe Luca
NL
Oliveri
Conchita Emanuela
CE
Privitera
Antonino Carlo
AC
Prumeri
Serafina
S
Politi
Antonino
A
Garufi
Antonio
A
Randazzo
Giuseppe
G
D052858:Cystocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010502:Perineum; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D020047:Rectocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome