Postoperative perineal hernia

Beck, David E., Fazio, Victor W., Jagelman, David G., Lavery, Ian C. and McGonagle, Beth A. (1987) Postoperative perineal hernia. Diseases of the Colon and Rectum, 30 1: 21-24. doi:10.1007/BF02556914

Author Beck, David E.
Fazio, Victor W.
Jagelman, David G.
Lavery, Ian C.
McGonagle, Beth A.
Title Postoperative perineal hernia
Journal name Diseases of the Colon and Rectum   Check publisher's open access policy
ISSN 0012-3706
Publication date 1987-01
Sub-type Article (original research)
DOI 10.1007/BF02556914
Volume 30
Issue 1
Start page 21
End page 24
Total pages 4
Place of publication New York, NY, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Eight patients (seven male and one female) with symptomatic postoperative perineal hernias treated at the Cleveland Clinic Foundation from 1975 to 1986 are reviewed. The patients ranged in age from 43 to 68 years (mean, 61 years). Seven had previous abdominoperineal resections of the rectum and one had a pelvic exenteration. The first two patients underwent repair via a perineal approach and both had recurrences of their hernias. These recurrences, as well as the presenting hernias in the six later patients, were repaired with mesh placed through an abdominal approach. Of these, there was one recurrence, which was repaired via an abdominal approach. There was no operative mortality. Based on experience, the authors believe that the best method of repair for this uncommon problem, involves placement of Marlex® mesh across the pelvic inlet through an abdominal approach. This allows attachment to the mesh to the lateral musculature and posterior sacral periosteum under direct vision. The anterior borders of the mesh can be secured to the apex of the vaginal or prostatic tissue. The placement of metallic clips to the edges of the mesh allows for confirmation of the mesh position by radiographic examination during follow-up.
Keyword Hernias
Marlex® mesh
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 38 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 14 Mar 2011, 08:45:48 EST