Secondary Perineal Hernia Repaired via Laparoscopic Surgery and Transperineal Approach—A Case Report—

Abstract

A 73-year-old woman presented to our hospital with a perineal hernia that developed after laparoscopic abdominoperineal resection for rectal cancer. Abdominal computed tomography revealed a protrusion of the small intestine into the perineum. The patient underwent laparoscopic hernia repair using mesh. The hernial orifice was 8 cm × 5 cm. The mesh was sutured to the pelvic cavity in a fully circumferential fashion and tacked dorsally to the sacrum. It was then fixed with sutures via the transperineal approach. The hernia had not recurred at 22 months after repair.