Two case reports of perineal hernia after laparoscopic abdominoperineal resection with a proposed modification to the operative technique

Ann R Coll Surg Engl. 2014 Mar;96(2):e9-10. doi: 10.1308/003588414X13814021677476.

Abstract

Perineal hernia is a rare complication following laparoscopic abdominoperineal resection (APR) for rectal cancer. We present two case reports of perineal hernia following laparoscopic APR and discuss their management. We suggest that they developed because the pelvic peritoneum was left open during laparoscopic APR and propose that closure of the pelvic peritoneum should be routine in this operation.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / surgery
  • Aged
  • Female
  • Hernia, Abdominal / etiology*
  • Hernia, Abdominal / surgery
  • Herniorrhaphy / methods*
  • Humans
  • Laparoscopy / adverse effects*
  • Male
  • Middle Aged
  • Perineum / surgery*
  • Rectal Neoplasms / surgery
  • Surgical Mesh
  • Wound Closure Techniques