A case of laparoscopic repair of perineal hernia after laparoscopic abdominoperineal resection for rectal cancer Satoshi ARAKAWA 1 , Zenichi MORISE 2 , Masashi ISETANI 1 , Norihiko KAWABE 1 , Yukio ASANO 1 , Akihiko HORIGUCHI 1 1Department of Gastroenterological Surgery, School of Medicine, Fujita Health University Banbuntane Hotokukai Hospital 2Department of Surgery, School of Medicine, Fujita Health University Keyword: 腹腔鏡下腹会陰式直腸切断術 , 会陰ヘルニア , 腹腔鏡下ヘルニア修復術 pp.523-529
Published Date 2017/7/15
DOI https://doi.org/10.11477/mf.4426200434
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A 71-year-old woman underwent laparoscopic abdominoperineal resection(APR) for rectal cancer. Perineal wound and urinary infections occurred but they were controlled by conservative treatment. Eight months after APR, the patient complained of perineal bulge at standing position. An abdominal computed tomography(CT) examination showed eventration of the small intestine from the pelvis to the subcutis of the perineum, and thus the diagnosis of secondary perineal hernia was made. She underwent laparoscopic hernia repair using VENTRIOTM Hernia Patch. The hernia has not recurred 1 year after the operation. Laparoscopic repair is a good treatment choice for secondary perineal hernia.

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