Abstract Aims The vertical rectus abdominis myocutaneous (VRAM) flap is commonly used to reconstruct perineal defects for low rectal and anal cancer. incidence of midline incisional hernias after VRAM reconstruction varies from 3.6% when detected clinically up 50% radiologically. aims this study accurately determine the radiological donor-site parastomal hernia following reconstruction. Methods...

A perineal hernia (PH) is formed by a protrusion of intra-abdominal viscera through a defect in the pelvic floor. This is a rare complication after a conventional abdominoperineal resection (APR). However, the risk of a PH may be increased after a laparoscopic resection because this technique can cause fewer postoperative adhesions, predisposing the small bowel to sliding down toward the pelvis...

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...

BACKGROUND This case report highlights two unusual surgical phenomena: lipoma-like well-differentiated liposarcomas and sciatic hernias. It illustrates the need to be aware that hernias may not always simply contain intra-abdominal viscera. CASE PRESENTATION A 36 year old woman presented with an expanding, yet reducible, right gluteal mass, indicative of a sciatic hernia. However, magnetic re...

background : many women suffer from perineal trauma during the normal vaginal delivery. perineal trauma is mainly associated with pain and complications after the childbirth. perineal management techniques can play a significant role in perineal trauma reduction. this study aimed to compare the effects of perineal management techniques (hands-off technique, ritgen maneuver and perineal massage ...