PERINEAL HERNIA AFTER ABDOMINOPERINEAL LAPAROSCOPIC RESECTION – CASE REPORT

V. Pecić, M. Nestorović, Ivan Pesic, D. Mihajlović, L. Jeremić, Marko Gmijović, D. Petrović, B. Brankovic
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Abstract

A perineal hernia can severely affect everyday activities. We represent a case of a sixty-five-year-old with perineal hernia after abdominoperineal resection for rectal cancer. Bulging in the perineum appeared 24 months following operation with uneventful postoperative course. She felt pain and difficulty while sitting. At physical examination the defect in perineum was approximately 3x3 cm. After cancer recurrence had been excluded, hernioplasty was planned. A 10x15 cm composite mesh was used for pelvic floor reconstruction. The mesh was sutured through urogenital diaphragm. Postoperative course was uneventful. Three years after surgery, there was no recurrence of cancer or hernia. Repair of perineal hernia is challenging, with limitation regarding guidelines in literature.
腹腔镜下会阴切除术后会阴疝1例
会阴疝会严重影响日常活动。我们报告一个六十五岁的病例与会阴疝后腹部会阴切除直肠癌。手术后24个月出现会阴膨出,术后过程平稳。她坐着时感到疼痛和困难。体检时会阴缺损约3x3 cm。排除肿瘤复发后,计划行疝成形术。盆底重建采用10x15 cm复合网片。通过泌尿生殖隔膜缝合补片。术后过程顺利。术后3年无肿瘤复发或疝气复发。会阴疝的修复是具有挑战性的,在文献指南方面有局限性。
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