Perineal Hernia Repair with Mesh and Gluteal Myocutaneous Flap after Abdominoperineal Resection for Rectal Cancer: A Case Report

Wilson M Alobuia and Jonathan A Laryea

Department of Surgery, Stanford University, USA
Department of Surgery, University of Arkansas for Medical Sciences, USA

^*Correspondance to: Jonathan A Laryea 

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Abstract:

Perineal hernia, formed by the protrusion of intra-abdominal viscera through a weakened pelvic floor area known albeit rare complication following Abdominoperineal Resection (APR) for rectal cancer. The incidence of perineal hernia is estimated to be up to 7% following APR [1]. The most common symptoms of a perineal hernia include perineal bulging and discomfort with activity secondary to an increase in intra-abdominal pressure. However, the complications include urinary retention/incontinence, bowel obstruction, perineal tissue erosion and trauma to herniated viscera. Most perineal hernias remain asymptomatic. For patients presenting with perineal discomfort and urinary pathology following APR, a careful history and physical examination should be undertaken and treatment offered if one is present. Treatment of perineal hernias is mostly surgical, using a transabdominal, trans-perineal or laparoscopic approach [1-6]. Here, we report a case of a perineal hernia repaired using a transabdominal approach with mesh and a trans-perineal repair using a gluteal myocutaneous flap.

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Cite the Article:

Alobuia WM, Laryea JA. Perineal Hernia Repair with Mesh and Gluteal Myocutaneous Flap after Abdominoperineal Resection for Rectal Cancer: A Case Report. Ann Clin Case Rep. 2018; 3: 1569.