EXPERIENCE OF TREATMENT OF A PATIENT WITH POSTOPERATIVE PERINEAL HERNIA (CLINICAL CASE)

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Section:
CASE HISTORY
Published:
2023-06-01
DOI:
https://doi.org/10.24412/2687-0053-2023-2-135-139

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Орлан Валерийович Ооржак
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Евгений Валерьевич Топаков
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Евгений Владимирович Лишов
Kemerovo State Medical University
Дмитрий Геннадьевич Постников
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Сергей Юрьевич Шост
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Евгений Владимирович Довбета
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Александр Андреевич Харитонов
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Татьяна Владимировна Мироненко
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Светлана Ивановна Елгина
Kemerovo State Medical University
Вадим Гельевич Мозес
Kemerovo State University; Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Елена Владимировна Рудаева
Kemerovo State Medical University
Кира Борисовна Мозес
Kemerovo State Medical University
Яэль Центер
Soroka Medical Center, Beer Sheva

Abstract

Postoperative perineal hernias (PPG) differ in nature from «classic» pelvic hernias. The occurrence of PPG is largely due to the violation of the integrity of the myofascial structures of the pelvic floor due to surgery and their replacement with scar tissue.
There is an annual increase in the number of patients with rectal cancer in the world, they occupy the 7th place in the structure of malignant neoplasms. When cancer is localized in the lower ampullary rectum, the main method of surgery is abdominal-perineal extirpation. According to the literature, the incidence of perineal hernia after abdominal-perineal extirpation of the rectum is in the range from 0.6 % to 37 %.
This article describes a rare clinical case of postopretionary hernia of the perineum. Taking into account the optimal chosen surgical management tactics of the patient, a favorable outcome was obtained for the woman.

Keywords

postoperative hernias of the perineum, management tactics

Author Biographies

Орлан Валерийович Ооржак,
candidate of medical sciences, head of surgical department N 1
Евгений Валерьевич Топаков,
surgeon, department of surgery N 1
Евгений Владимирович Лишов,
doctor of medical sciences, professor, head of the department of general, faculty surgery and urology
Дмитрий Геннадьевич Постников,
surgeon, department of surgery N 1
Сергей Юрьевич Шост,
surgeon, department of surgery N 1
Евгений Владимирович Довбета,
surgeon, department of surgery N 1
Александр Андреевич Харитонов,
candidate of medical sciences, surgeon, department of surgery N 1
Татьяна Владимировна Мироненко,
candidate of medical sciences, surgeon, department of surgery N 1
Светлана Ивановна Елгина,
doctor of medical sciences, docent, professor of department of obstetrics and gynecology N 1
Вадим Гельевич Мозес,
doctor of medical sciences, docent, director of the Medical Institute; deputy chief physician for research activities
Елена Владимировна Рудаева,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova
Кира Борисовна Мозес,
assistant, department of polyclinic therapy and nursing
Яэль Центер,
pathologist

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Орлан Валерийович Ооржак, Евгений Валерьевич Топаков, Евгений Владимирович Лишов, Дмитрий Геннадьевич Постников, Сергей Юрьевич Шост, Евгений Владимирович Довбета, Александр Андреевич Харитонов, Татьяна Владимировна Мироненко, Светлана Ивановна Елгина, Вадим Гельевич Мозес, Елена Владимировна Рудаева, Кира Борисовна Мозес, Яэль Центер, 2023


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Ооржак, О. В., Топаков, Е. В., Лишов, Е. В., Постников, Д. Г., Шост, С. Ю., Довбета, Е. В., Харитонов, А. А., Мироненко, Т. В., Елгина, С. И., Мозес, В. Г., Рудаева, Е. В., Мозес, К. Б., & Центер, Я. (2023). EXPERIENCE OF TREATMENT OF A PATIENT WITH POSTOPERATIVE PERINEAL HERNIA (CLINICAL CASE). Medicine in Kuzbass, 22(2), 135-139. https://doi.org/10.24412/2687-0053-2023-2-135-139

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