title: Using the uterus to close a pelvic defect after primary perineal posterior hernia repair: report of a case.
abstract: Perineal hernias rarely develop spontaneously, and their treatment is controversial. We report a case of a primary perineal posterior hernia in an 81-year-old woman, who presented with progressive bulging in the perineal area, preventing comfortable excretion. The diagnosis was established by herniography. We operated via an abdominal approach and repaired the hernia by reconstructing the pelvic floor using the uterus. To our knowledge, reconstruction using the uterus to repair a pelvic defect has not been reported before.
authors.affiliation: Department of Surgery, Suzaka Hospital, 1332 Ooaza Suzaka, Suzaka, Nagano, 382-0091, Japan.
authors.forename: Mitsutsune
authors.initials: M
authors.lastname: Washiro
authors.forename: Hideharu
authors.initials: H
authors.lastname: Shimizu
authors.forename: Tatsusi
authors.initials: T
authors.lastname: Katakura
authors.forename: Shinpei
authors.initials: S
authors.lastname: Kumagai
authors.forename: Masaru
authors.initials: M
authors.lastname: Miyazaki
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D017773:Pelvic Floor / Q000601:surgery*; D010502:Perineum; D014599:Uterus / Q000601:surgery*