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

Avondstondt, Andrea M.; Ezzedine, Dima; Salamon, Charbel

Introduction: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. Methods: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. Results: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. Conclusions: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.

HERNIA; UTERINE prolapse; ABDOMINAL surgery; SUTURES; MINIMALLY invasive procedures

International Urogynecology Journal, 2019, Vol 30, Issue 11, p1981

0937-3462

Academic Journal

10.1007/s00192-019-03956-3