Perineal hernia repair after abdominoperineal rectal excision with prosthetic mesh—a single surgeon experience

Background. The exact nature of learning curve of totally extraperitoneal inguinal hernia and the number required to master this technique remain controversial.Patients and Methods. We present a retrospective review of a single surgeon experience on patients who underwent totally extraperitoneal inguinal hernia repair.Results. There were 42 hernias (22 left- and 20 right-sided) in 39 patients with a mean age of48.8±15.1years. Indirect, direct, and combined hernias were present in 18, 12, and 12 cases, respectively. The mean operative time was55.1±22.8minutes. Peritoneal injury occurred in 9 cases (21.4%). Conversion to open surgery was necessitated in 7 cases (16.7%). After grouping of all patients into two groups as cases between 1–21 and 22–42, it was seen that the majority of peritoneal injuries (7 out of 9, 77.8%,P=0.130) and all conversions (P=0.001) occurred in the first 21 cases.Conclusions. Learning curve of totally extraperitoneal inguinal hernia repair can be divided into two consequent steps: immediate and late. At least 20 operations are required for gaining anatomical knowledge and surgical pitfalls based on the ability to perform this operation without conversion during immediate phase.

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Perineal hernia repair using permanent suture and mesh: a video case presentation

International Urogynecology Journal ◽

10.1007/s00192-019-03956-3 ◽

2019 ◽

Vol 30 (11) ◽

pp. 1981-1983 ◽

Cited By ~ 1

Author(s):

Andrea M. Avondstondt ◽

Dima Ezzedine ◽

Charbel Salamon

Keyword(s):

Hernia Repair ◽

Perineal Hernia ◽

Case Presentation

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Perineal Hernia Repair With Mesh After Robotic Abdominoperineal Resection

Diseases of the Colon & Rectum ◽

10.1097/dcr.0000000000001148 ◽

2019 ◽

Vol 62 (8) ◽

pp. 1013 ◽

Cited By ~ 1

Author(s):

Ipek Sapci ◽

Jim P. Tiernan ◽

Emre Gorgun

Keyword(s):

Hernia Repair ◽

Abdominoperineal Resection ◽

Perineal Hernia

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Perineal colostomy prolapse: a novel application of mesh sacral pexy

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2017.0172 ◽

2018 ◽

Vol 100 (1) ◽

pp. e7-e9

Author(s):

S Landen ◽

D Ursaru ◽

V Delugeau ◽

C Landen

Keyword(s):

Hernia Repair ◽

Perineal Hernia ◽

Full Thickness ◽

Anal Sphincters ◽

Contributing Factors ◽

Perineal Colostomy ◽

Large Skin ◽

Colostomy Prolapse

Full thickness colonic prolapse following pseudocontinent perineal colostomy has not been previously reported. Possible contributing factors include a large skin aperture at the site of the perineal stoma, the absence of anal sphincters and mesorectal attachments and the presence of a perineal hernia. A novel application of sacral pexy combined with perineal hernia repair using two prosthetic meshes is described.

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