We would like add our experience of inguinal hernia (IH) after radical prostatectomy (RP). Sekita et al. found a high incidence of IH of 23.9% after prostate surgery. I commend them on a study with a good comparison group of those patients having a transurethral resection of prostate (TURP). We also looked at IH rates after RP in a retrospective study of 579 patients having radical retropubic p...

The authors report a case of fat herniation through the canal of Schwalbe noted in a female cadaver during abdominopelvic dissection. Perineal hernias are rare hernias, and herniations through the hiatus of Schwalbe represent a rare posterior lateral perineal hernia. While these hernias are extremely rare, anatomists and surgeons should be aware of them, and the clinical significance and manife...

We report an incarcerated internal hernia in a huge irreducible parastomal hernia-"hernia within hernia." A 70-year-old obese woman with diabetes who underwent an abdomino-perineal resection 20 years ago was admitted to our hospital with 20 years history of a huge irreducible bulge, 25 cm in diameter. An internal hernia due to an adhesive band extending from the sac wall to proximal colon was f...

Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. Sh...

Here, we describe two dogs in which canine small intestinal submucosa (SIS) was implanted as a biomaterial scaffold during perineal herniorrhaphy. Both dogs had developed severe muscle weakness, unilaterally herniated rectal protrusions, and heart problems with potential anesthetic risks. Areas affected by the perineal hernia (PH) located between the internal obturator and external anal sphinct...

INTRODUCTION The aim of this review is to provide an overview of the evidence for the use of biologic mesh in the reconstruction of the pelvic floor after extralevator abdominoperineal excision of the rectum (ELAPE). METHODS A systematic search of PubMed was conducted using the search terms: "ELAPE," "extralevator abdominoperineal excision of rectum," or "extralevator abdominoperineal resecti...

Rectal diverticulum is a rare condition in dogs characterized by formation of a pouch or sac due to hernial protrusion of the mucous membranes through a defect in the muscular coat of the rectum. A 12-year-old male terrier dog was admitted with a history of a left perineal swelling, dyschezia and tenesmus during the last five months. Digital rectal examination identified a weakness in the left ...