Case Report: Robotic Repair of a Perineal Hernia Following Abdominoperineal Resection

Autor: Madison Brune, Austin Hotop, William Silliman, Kevin Bartow
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Abdominal Wall Surgery, Vol 3 (2024)
Druh dokumentu: article
ISSN: 2813-2092
DOI: 10.3389/jaws.2024.13481
Popis: IntroductionPerineal hernias, protrusions through the pelvic diaphragm, are a rare complication post-abdominoperineal resection. The shift to extralevator APR techniques could be linked to a potential increase in these hernias. This case series evaluates the surgical management of perineal hernias, focusing on the evolving role of robotic surgery. Given the limited existing research on robotic repairs in this context, it highlights its potential as an innovative approach.Presentation of CaseIn a case series, we report three patients who underwent robotic abdominoperineal resection (APR) for rectal and anal canal carcinoma after neoadjuvant chemoradiation. The 65-year-old female developed a perineal hernia 7 months post-operatively, the 67-year-old male after 4 years, and the 63-year-old female presented with a recurrent perineal hernia post-APR with gracilis flap reconstruction. All patients underwent successful robotic hernia repairs with mesh placement and demonstrated symptomatic improvement post-operatively.DiscussionPerineal hernia management lacks a standardized protocol, with methods ranging from open to laparoscopic techniques. A review of recent literature suggests increasing favorability towards laparoscopic and robotic approaches due to their less invasive nature. Our cases demonstrate the advantages of robotic surgery’s precision and improved visualization, supporting its use in perineal hernia repair, although more research is needed to confirm.ConclusionRobotic-assisted surgery for perineal hernia repair post-APR shows promise, enhancing the benefits of laparoscopic methods. This series underlines the potential of this approach, though further investigation in larger studies is essential to establish its advantages.
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