Case of Perineal Hernia following Perineal Excision of the Rectum

Care of the perineal wound after excision of the rectum.

To obtain early healing of the perineal wound after excision of the rectum has always been one of the problems of the operation. Few surgeons now use oiled silk and packing, with frequent irrigations, until the wound is healed. Healing of the perineal wound was very slow when this method was used. Complete primary closure without drainage is not a satisfactory method of treatment. Most surgeons...

Perineal Hernia Repair

Laparoscopic Repair of Perineal Hernia

Perineal hernia is a rare but known complication following major pelvic surgery. It may occur spontaneously or following abdominoperineal resection, sacrectomy, or pelvic exenteration. Very little is known about spontaneous perineal hernia. Surgical repair via open transabdominal and transperineal approaches has been previously described. We report laparoscopic repair of spontaneous and postope...

Repair of Perineal Hernia Following Abdominoperineal Excision with Biological Mesh: A Systematic Review

INTRODUCTION Perineal hernia (PerH) following abdominoperineal excision (APE) procedure is a recognized complication. PerH was considered an infrequent complication of APE procedure; however, PerH rates of up to 45% have been reported in recent publications following a laparoscopic APE procedure. Various methods of repair of PerH with the use of synthetic meshes or myocutaneous flap have been d...

A Case of Perineal Excision of Ano-Rectal Cancer

Previous History.?The patient could not give any precise date of onset. There was no family history of importance. About 2 years ago she began having slight diarrhoea alternating with constipation; subsequently pain in the anus, especially during the act of defecation; and lately foul-smelling, thin reddish-brown coloured discharge, sometimes mixed with mucus or pus, and occasional haemorrhage....