Hernia

, Volume 10, Issue 4, pp 360–363

Reconstruction of parasacral hernia with acellular human dermis graft

Authors

    • Department of SurgeryUniversity of South Carolina School of Medicine
  • J. F. LeFaivre
    • Department of SurgeryUniversity of South Carolina School of Medicine
  • M. J. Yost
    • Department of SurgeryUniversity of South Carolina School of Medicine
  • S. A. Fann
    • Department of SurgeryUniversity of South Carolina School of Medicine
Case Report

DOI: 10.1007/s10029-006-0092-4

Cite this article as:
Brizendine, J.B., LeFaivre, J.F., Yost, M.J. et al. Hernia (2006) 10: 360. doi:10.1007/s10029-006-0092-4

Abstract

Parasacral hernias are defects through the pelvic floor which occur as the result of sacral resection. These defects are often large, and are frequently the result of treatment for sacral malignancies. This report documents the case of a 71-year-old woman who underwent radical coccygectomy and partial sacrectomy for a chordoma and subsequently presented 1 year later with a large parasacral hernia. The defect was repaired using an acellular human dermis graft with a gluteus maximus muscle-advancement flap overlay. This article summarizes the current literature of this challenging clinical problem, and examines the use of acellular human dermis in the repair of complex hernias.

Keywords

Sacral herniaSacrectomyChordomaComplicationsAlloDerm

Copyright information

© Springer-Verlag 2006