Perineal Hernia after Laparoscopic Abdominoperineal Resection for Rectal Cancer: A Case Report and Review of the Literature

Zhenhua He,Gaoyong Zhu,Sen Zhang

doi:10.4236/jct.2015.62024

Abstract

Perineal hernias are uncommon complications following laparoscopic abdominoperineal operations. There is still very little known about perineal hernia. There are only few case reports to describe the repair of postoperative hernias after laparoscopic abdominoperineal resection (APR) in the literature. Here we present one patient with a perineal hernia after laparoscopic abdominoperineal resection for rectal cancer. The surgical management with manual purse-string suture is described and discussed in this case report.

Highlights

Perineal hernia is defined as an intra-abdominal content protruding through the pelvic floor into the perineal region, and it is an infrequent complication after open abdominoperineal resection (APR)
The incidence of perineal hernias after laparoscopic APR (L-APR) is extremely low and most publications appeared as case reports
Perineal hernias after APR may be the result of a complex interaction among various risk factors including the larger size of the female pelvis, previous hysterectomy, radiotherapy, coccygectomy, excessive length of small bowel mesentery, and perineal wound infection

Summary

Introduction

Perineal hernia is defined as an intra-abdominal content protruding through the pelvic floor into the perineal region, and it is an infrequent complication after open abdominoperineal resection (APR). The reported incidence of patients requiring surgical correction may be between 0.62% and 3.5% [1]-[3] following rectal resection procedures. Internal hernia through a mesenteric defect after laparoscopic colectomy has been occasionally described [6] [7]. (2015) Perineal Hernia after Laparoscopic Abdominoperineal Resection for Rectal Cancer: A Case Report and Review of the Literature. We report a case of a perineal hernia after L-APR for rectal cancer, and describe our successful repair of this hernia with transperineal manual purse-string suture

Case Report

Discussion