A case of successful laparoscopic intraperitoneal onlay mesh plus technique repair for perineal hernia after laparoscopic abdominoperineal resection.

Autor:	Ogi, Yusuke, Watanabe, Yuji, Egi, Hiroyuki, Suehiro, Kazunaga, Watanabe, Katsuya, Tsuda, Naoki, Kosaka, Taijiro
Předmět:	LAPAROSCOPIC surgery ABDOMINOPERINEAL resection HERNIA INGUINAL hernia SURGICAL indications VENTRAL hernia RECTAL cancer
Zdroj:	Asian Journal of Endoscopic Surgery; Jan2022, Vol. 15 Issue 1, p197-200, 4p
Abstrakt:	The frequency of secondary perineal hernia after abdominoperineal resection has been reported as 0.83%‐26%. The optimal surgery for secondary perineal hernia and surgical indication remains controversial. An 87‐year‐old woman diagnosed with lower rectal cancer underwent laparoscopic abdominoperineal resection. Follow‐up computed tomography at 6 months postoperatively revealed secondary perineal hernia. She reported no discomfort and no incarceration was apparent, but she complained of perineal discomfort 3 months later. Laparoscopic repair surgery was performed using an intraperitoneal onlay mesh plus technique with VENTRALIGHT® ST mesh (Medicon, Osaka, Japan), a non‐absorbable mesh with a biodegradable coating. No recurrence of peritoneal hernia was seen as of 3 months postoperatively. A time lag can exist between imaging findings and symptom appearance. This laparoscopic intraperitoneal onlay mesh plus technique might become the optimal treatment for perineal hernia. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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