Laparoscopic repair of an anterior perineal hernia: a video presentation.
Facts Views Vis Obgyn 2023;
15:153-155. [PMID:
37436052 PMCID:
PMC10410649 DOI:
10.52054/fvvo.15.2.068]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND
The perineal hernia is a condition that occurs as a result of a defect in the pelvic diaphragm. It is classified as anterior or posterior, and as either a primary or secondary hernia. The best management of this condition remains controversial.
OBJECTIVES
To demonstrate the surgical steps of a laparoscopic repair with mesh of a perineal hernia.
MATERIALS AND METHODS
A video presentation showing the laparoscopic repair of a recurrent perineal hernia.
MAIN OUTCOME MEASURES
A 46-year-old woman with a prior history of a primary perineal hernia repair had complaints of a symptomatic vulvar bulge. Pelvic magnetic resonance imaging showed a 5 cm hernia sac at the right anterior pelvic wall containing adipose tissue. A laparoscopic perineal hernia repair was performed by dissection of the space of Retzius, reduction of the hernial sac, closure of the defect and mesh fixation.
RESULTS
The laparoscopic repair with mesh of a recurrent perineal hernia is demonstrated.
CONCLUSION
We showed that the laparoscopic approach can be an effective and reproducible treatment for perineal hernia.
LEARNING OBJECTIVE
Understanding of the surgical steps involved in the laparoscopic repair with mesh of a recurrent perineal hernia.
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