AI Article Synopsis
- Primary perineal hernias are uncommon and challenging to repair, with high recurrence rates around 50%.
- A case study is presented involving a 65-year-old woman with a herniated sigmoid colon, who successfully underwent robotic transabdominal repair using a synthetic mesh.
- This minimally invasive method allowed for same-day discharge, enhanced visualization, and reduced complications compared to traditional surgery.
Article Abstract
Primary acquired perineal hernias are rare defects through the pelvic floor diaphragm. The optimal surgical technique for repair remains unknown, and recurrence rates approach 50%. We present a 65-year-old female without previous obstetric or pelvic surgical history who was found to have herniated sigmoid colon through a 2×2 cm levator ani defect. The patient underwent robotic transabdominal hernia repair with a synthetic self-fixating underlay mesh. The peritoneum was primarily closed and the patient was discharged the same day. There is no sign of recurrence to date. Our minimally invasive approach with extraperitoneal mesh placement provided us with several advantages: ambulatory surgery; excellent visualization of the defect; easier suturing in the deep pelvis compared to traditional laparoscopy; and mesh reinforcement while minimizing the risks of erosion, migration, adhesion, and fistula formation.
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| http://dx.doi.org/10.1177/00031348221091967 | DOI Listing |
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