title: [Application of biological mesh for reconstruction of pelvic floor in patients with perineal hernia].
abstract: OBJECTIVE
  To investigate the effectiveness of repair procedure using biological mesh with Onlay-Reinforce technique in patients with perineal hernia.
  
  
  METHODS
  Between January 2005 and December 2012, 9 patients with perineal hernia after laparoscopic abdominoperineal resection for rectal cancer (Miles operation) were treated. There were 3 males and 6 females with a mean age of 70 years (range, 61-78 years). The disease duration was 1-9 months (mean, 4.5 months). The most beginning symptom was distending pain in perineal region, and then reducible mass was found without bowel incarceration. All patients underwent hernia repair using biological mesh with Onlay-Reinforce technique through original perineal incision.
  
  
  RESULTS
  The hernial size was 9.8-20.5 cm2 (mean, 16.0 cm2); the size of biological mesh was 58-80 cm2 (mean, 70.2 cm2); and the intraoperative blood loss was 10-80 mL (mean, 50.5 mL). All of the patients underwent repair operation successfully. The operation time was 45-90 minutes (mean, 60.6 minutes); and the hospitalization time was 4-7 days (mean, 5.9 days). One patient had urine retention, which was relieved after 7 days indwelling catheter. All the wounds healed by first intention without infection. The patients were followed up 14.5-60.7 months (mean, 37.8 months). No chronic pain, obvious foreign body sensation, or hernia recurrence developed.
  
  
  CONCLUSIONS
  Use of biological mesh with Onlay-Reinforce technique for the repair ofperineal hernia after Miles operation is safe and effective.
authors.affiliation: Department of General Surgery, General Hospital of Chinese PLA, Beijing, P.R. China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Fei
authors.forename: Jiye
authors.initials: J
authors.lastname: Li
authors.forename: Wen
authors.initials: W
authors.lastname: Tian
mesh_terms: D000368:Aged; D001672:Biocompatible Materials / Q000627:therapeutic use*; D013505:Digestive System Surgical Procedures; D005260:Female; D046449:Hernia, Abdominal / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D017773:Pelvic Floor / Q000601:surgery*; D010502:Perineum; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D012004:Rectal Neoplasms / Q000601:surgery; D013526:Surgical Mesh; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials