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Using the uterus to close a pelvic defect after primary perineal posterior hernia repair: Report of a case

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Abstract

Perineal hernias rarely develop spontaneously, and their treatment is controversial. We report a case of a primary perineal posterior hernia in an 81-year-old woman, who presented with progressive bulging in the perineal area, preventing comfortable excretion. The diagnosis was established by herniography. We operated via an abdominal approach and repaired the hernia by reconstructing the pelvic floor using the uterus. To our knowledge, reconstruction using the uterus to repair a pelvic defect has not been reported before.

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References

  1. Mohta A, Bhargava SK. Congenital perineal hernia: report of a case. Surg Today 2004;34:630–631.

    Article  PubMed  Google Scholar 

  2. Pearl RK. Perineal hernia. In: Nyhus LM, Condon RE, editors. Hernia. 3rd ed. Philadelphia: Lippincott; 1989. p. 442–446.

    Google Scholar 

  3. Rasmussen HM, Frederiksen HJ. Perineal hernia after rectal extirpation. Ugeskr Laeger 1993;155:2817–2818.

    CAS  PubMed  Google Scholar 

  4. Abdul J AS. Postoperative perineal hernia. Hernia 2002;6: 188–90.

    Article  Google Scholar 

  5. Villar F, Frampas E, Mirallie E, Potiron L, Villet R, Lehur PA. Perineal incisional hernia following rectal resection. Diagnostic and management. Ann Chir 2003;128:246–250.

    Article  CAS  PubMed  Google Scholar 

  6. So JB, Palmer MT, Shellito PC. Postoperative perineal hernia. Dis Colon Rectum 1997;40:954–957.

    Article  CAS  PubMed  Google Scholar 

  7. Rebecca LC, Richard MP, Garnet JB, Thorson A, Christensen MA. Rare pelvic floor hernias. Report of a case and review of the literature. Dis Colon Rectum 1992;35:604–612.

    Article  Google Scholar 

  8. Lubat E, Gordon RB, Birnbaum BA, Megibow AJ. CT diagnosis of posterior perineal hernia. AJR 1990;154:761–762.

    CAS  PubMed  Google Scholar 

  9. Preis A, Herbig B, Doner A. Primary perineal hernia: a case report and review of the literature. Hernia 2006;10:430–433.

    Article  Google Scholar 

  10. Salum MR, Prado-Kobata MH, Saad SS, Matos D. Primary perineal posterior hernia. An abdominoperineal approach for mesh repair of the pelvic floor. Clinics 2005;60:71–74.

    Article  PubMed  Google Scholar 

  11. Singer AA. Ultrasonographic diagnosis of perineal hernia. J Ultrasound Med 1994;13:987–988.

    CAS  PubMed  Google Scholar 

  12. Singh K, Reid WM, Berger LA. Translevator gluteal hernia. Int Urogynecol J Pelvic Floor Dysfunct 2001;12:407–409.

    Article  CAS  PubMed  Google Scholar 

  13. Sprenger D, Lienemann A, Anthuber C, Reiser M. Functional MRI of the pelvic floor: its normal anatomy and pathological findings. Radiologe 2000;40:451–457.

    Article  CAS  PubMed  Google Scholar 

  14. Ekberg O, Nordblom I, Fork FT, Gullmo A. Herniography of femoral, obturator and perineal hernias. Rofo 1985;143:193–199.

    CAS  PubMed  Google Scholar 

  15. Weyhe D, Geier B, Belyaev O, Steinfort C, Uhl W, Zumtobel V. Central perineal hernia mimicking rectocele: a case report. Langenbecks Arch Surg 2006;391:43–46.

    Article  PubMed  Google Scholar 

  16. Beck DE, Fazio VW, Jagelman DG. Postoperative perineal hernia. Dis Colon Rectum 1987;30:21–24.

    Article  CAS  PubMed  Google Scholar 

  17. Giampapa V, Keller A, Shaw WW, Colen SR. Pelvic floor reconstruction using the rectus abdominis muscle flap. Ann Plast Surg 1984;13:56–59.

    Article  CAS  PubMed  Google Scholar 

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Washiro, M., Shimizu, H., Katakura, T. et al. Using the uterus to close a pelvic defect after primary perineal posterior hernia repair: Report of a case. Surg Today 40, 277–280 (2010). https://doi.org/10.1007/s00595-008-4036-8

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  • DOI: https://doi.org/10.1007/s00595-008-4036-8

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