Langenbeck's Archives of Surgery

, Volume 390, Issue 3, pp 255–258

Use of bone anchors in perineal hernia repair: a practical note

Original Article

DOI: 10.1007/s00423-004-0523-6

Cite this article as:
Berrevoet, F. & Pattyn, P. Langenbecks Arch Surg (2005) 390: 255. doi:10.1007/s00423-004-0523-6

Abstract

Background

Bone anchoring systems are used extensively in orthopaedic surgery but have scarcely been reported as useful in abdominal wall or perineal hernia repair. After coccygectomy or sacrectomy the development of bowel herniation is not uncommon. Considering repair of such a perineal hernia, adequate fixation of the prosthetic mesh is difficult and, therefore, recurrence is rather frequent, mostly due to insufficient anchoring of the mesh to the bony structures.

Methods

We discuss a patient in which the Mitek GII anchoring system was used to overcome the problem of soft-tissue-to-bone attachment in such cases.

Conclusion

Bone anchoring systems seem to be an efficient method to overcome the problems of soft-tissue-to bone attachment in both abdominal and perineal hernia repair.

Keywords

Perineal herniaBone anchorSoft tissueMesh repair

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Department for General, Hepatobiliary Surgery and TransplantationUniversity Hospital of GhentGhentBelgium