Abstract
We present two cases of postoperative perineal hernia repaired by using Bard® Composix mesh.
Case 1 involved a 68-year-old woman who underwent laparoscopic excision of the rectum for rectal cancer. From six weeks on after the operation, a bulge appeared in the perineum, and perineal hernia was diagnosed. Laparoscopic radical repair for the hernia was performed by using a Bard® Composix mesh. No recurrence of the hernia has occurred as of 2 years and 10 months after the repair.
Case 2 involved a 67-year-old woman who underwent laparoscopic excision of the rectum and reconstruction using a left musculocutaneous latissimus dorsi free flap for a huge anal canal cancer. From five months on after the operation, she became to have a feeling that something was wrong when she sat. CT scan revealed a myoma of the uterus to have fallen in the floor of the pelvis. Perineal hernia was thus diagnosed. We performed hysterectomy and the plastic operation of the pelvic floor by using the same mesh under laparotomy. No recurrence of the hernia has occurred as of 9 months after the repair.
Radical perineal hernia repair by using the mesh is considered to be a useful operative procedure.
