A case of laparoscopic repair of a perineal hernia after laparoscopic abdominoperineal resection of the rectum Shumpei MUKAI 1 , Eiji HIDAKA 1 , Yusuke TAKEHARA 1 , Fumio ISHIDA 1 , Jun-ichi TANAKA 1 , Shin-ei KUDO 1 1Digestive Disease Center, Showa University Northern Yokohama Hospital Keyword: 会陰ヘルニア , 腹腔鏡下手術 , 腹会陰式直腸切断術 pp.497-502
Published Date 2013/7/15
DOI https://doi.org/10.11477/mf.4426100974
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Secondary perineal hernia after pelvic surgery is rare. We experienced perineal hernia after laparoscopic abdominoperineal resection(APR) of the rectum, and performed laparoscopic repair. We reported this case. An 83-year-old man underwent laparoscopic APR for rectal cancer. He complained of perineal bulge, constipation, and appetite loss 13 months after the APR. We considered it to be a secondary perineal hernia from the clinical course and abdominal CT finding. He underwent laparoscopic surgery with composite mesh to repair the hernia. He was discharged 8 days later. The hernia has not recurred 4 months after the operation. We believe laparoscopic repair for perineal hernia is feasible.

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