title: Laparoscopic repair of postoperative perineal hernia.
abstract: Perineal hernias are infrequent complications following abdominoperineal operations. Various approaches have been described for repair of perineal hernias including open transabdominal, transperineal or combined abdominoperineal repairs. The use of laparoscopic transabdominal repair of perineal hernias is not well-described. We present a case report demonstrating the benefits of laparoscopic repair of perineal hernia following previous laparoscopic abdominoperineal resection (APR) using a nonabsorbable mesh to repair the defect. We have demonstrated that the use of laparoscopy with repair of the pelvic floor defect using a non absorbable synthetic mesh offers an excellent alternative with many potential advantages over open transabdominal and transperineal repairs.
authors.affiliation: Department of Colorectal Surgery, The Adelaide and Meath Hospital incorporating the National Children's Hospital, 24 Dublin, Ireland.
authors.forename: Stephen
authors.initials: S
authors.lastname: Ryan
authors.forename: Dara O
authors.initials: DO
authors.lastname: Kavanagh
authors.forename: Paul C
authors.initials: PC
authors.lastname: Neary
references.citation: Dis Colon Rectum. 1997 Aug;40(8):954-7
references.pmid: 9269813
references.citation: Surg Today. 2009;39(4):340-3
references.pmid: 19319644
references.citation: Ann R Coll Surg Engl. 1995 May;77(3):229-32
references.pmid: 7598425
references.citation: Surg Laparosc Endosc Percutan Tech. 2002 Apr;12(2):119-21
references.pmid: 11948300
references.citation: Hernia. 2007 Dec;11(6):541-5
references.pmid: 17503160
references.citation: Dis Colon Rectum. 1982 Sep;25(6):597-9
references.pmid: 7117067
references.citation: Hernia. 2002 Mar;6(1):42-4
references.pmid: 12090582
references.citation: JSLS. 2009 Apr-Jun;13(2):237-41
references.pmid: 19660225
references.citation: Surg Endosc. 2006 Mar;20(3):414-8
references.pmid: 16437278
references.citation: Dis Colon Rectum. 2006 Oct;49(10):1564-8
references.pmid: 16946992
references.citation: Hernia. 2003 Jun;7(2):85-8
references.pmid: 12820030
references.citation: Hernia. 2010 Apr;14(2):199-201
references.pmid: 19495919
references.citation: Ann Surg. 1964 Jan;159:66-71
references.pmid: 14103277