Perineal Repair of a Postoperative Perineal Hernia – Case Report

Postoperative perineal hernia (PerH) following abdominoperineal resection is a rare complication of radical pelvic oncologic surgery performed with curative intent for rectal cancer, with a reported prevalence of 0.6–7%. PerH is clinically diagnosed as an occurrence of a swelling in the perineum caused by the herniation of abdominal or pelvic viscera through a defect in the pelvic floor. The definitive repair method of pelvic floor defect of PerH is not established but includes exclusion of tumor recurrence and repair of pelvic floor defect. We herein report the treatment of a PerH using a combination of biological mesh and a V-Y gluteal fascio-cutaneous advancement flap, performed at Tata Memorial Hospital, in Parel, Mumbai, India.