title: Prevention of perineal hernia after laparoscopic and robotic abdominoperineal resection: review with illustrative case series of internal hernia through pelvic mesh.
abstract: This review is intended to raise awareness of placing a pelvic mesh to prevent perineal hernias in cases of minimally invasive (MIS) abdominoperineal resections (APR) and, in doing so, causing internal hernias through the mesh. In this article, we review the published literature and present an illustrative series of 4 consecutive cases of early internal hernia through a pelvic mesh defect. These meshes were placed to prevent perineal hernias after laparoscopic or robotic APRs. The discussion centres on 3 key questions: Should one be placing a pelvic mesh following an APR? What are some of the technical details pertaining to the initial mesh placement? What are the management options related to internal hernias through such a mesh?
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: George
authors.initials: G
authors.lastname: Melich
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Dae Ro
authors.initials: DR
authors.lastname: Lim
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Hyuk
authors.initials: H
authors.lastname: Hur
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Byung Soh
authors.initials: BS
authors.lastname: Min
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Seung Hyuk
authors.initials: SH
authors.lastname: Baik
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Goffredo O
authors.initials: GO
authors.lastname: Arena
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Philip H
authors.initials: PH
authors.lastname: Gordon
authors.affiliation: From the Department of Surgery, Royal Columbian Hospital, University of British Columbia, Vancouver, BC (Melich); the Jewish General Hospital, McGill University, Montreal, QC (Gordon); the Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea (Lim, Hur, Min, Baik, Kim); and the McGill University Health Centre, McGill University, Montreal, QC (Arena).
authors.forename: Nam Kyu
authors.initials: NK
authors.lastname: Kim
mesh_terms: D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D000069290:Incisional Hernia / Q000209:etiology / Q000517:prevention & control*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D013526:Surgical Mesh / Q000009:adverse effects*
references.citation: Br J Surg. 2008 Apr;95(4):438-46
references.pmid: 18256994
references.citation: JSLS. 2009 Apr-Jun;13(2):237-41
references.pmid: 19660225
references.citation: Dis Colon Rectum. 1997 Aug;40(8):954-7
references.pmid: 9269813
references.citation: Curr Surg. 2006 Jul-Aug;63(4):255-8
references.pmid: 16843776
references.citation: Dis Colon Rectum. 2006 Oct;49(10):1564-8
references.pmid: 16946992
references.citation: Hernia. 2007 Dec;11(6):541-5
references.pmid: 17503160
references.citation: Surg Gynecol Obstet. 1983 Sep;157(3):269-71
references.pmid: 6612575
references.citation: Am J Obstet Gynecol. 1977 Dec 15;129(8):881-92
references.pmid: 930972
references.citation: Br J Surg. 2007 Feb;94(2):232-8
references.pmid: 17143848
references.citation: Case Rep Med. 2010;2010:null
references.pmid: 20811618
references.citation: Am Surg. 2010 May;76(5):474-9
references.pmid: 20506875
references.citation: Am J Surg. 1956 Nov;92(5):735-8
references.pmid: 13372877
references.citation: Plast Reconstr Surg. 2000 Jun;105(7):2387-94
references.pmid: 10845291
references.citation: Surg Endosc. 2006 Mar;20(3):414-8
references.pmid: 16437278
references.citation: Dis Colon Rectum. 2012 Jan;55(1):90-5
references.pmid: 22156873
references.citation: Ann Surg Oncol. 1999 Jan-Feb;6(1):33-7
references.pmid: 10030413