EXPERIENCE OF TREATMENT OF A PATIENT WITH POSTOPERATIVE PERINEAL HERNIA (CLINICAL CASE)
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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.
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Sayers AE, Patel RK, Hunter IA. Perineal hernia formation following extralevator abdominoperineal excision. Colorectal Dis. 2015; 17(4): 351-355. DOI: 10.1111/codi.12843
Aboian E, Winter DC, Metcalf DR, Wolff BG. Perineal hernia after proctectomy: prevalence, risks, and management. Dis Colon Rectum. 2006; 49(10): 1564-1568. DOI: 10.1007/s10350-006-0669-0
Abdul Jabbar AS. Postoperative perineal hernia. Hernia. 2002; 6(4): 188-190. DOI: 10.1007/s10029-002-0079-8
Jensen KK, Rashid L, Pilsgaard B, Møller P, Wille-Jørgensen P. Pelvic floor reconstruction with a biological mesh after extralevator abdominoperineal excision leads to few perineal hernias and acceptable wound complication rates with minor movement limitations: single-centre experience including clinical examination and interview. Colorectal Dis. 2014; 16(3): 192-197. DOI: 10.1111/codi.12492
Apykhtina NA, Elgina SI. Reproductive health of girls in the Kemerovo region. Reproductive health of children and adolescents. 2016; 2: 30-31. Russian (Апыхтина Н.А., Елгина С.И. Репродуктивное здоровье девочек Кемеровской области //Репродуктивное здоровье детей и подростков. 2016. № 2. С. 30-31)
Abbatov NT, Turgunov EM, Asanov MA, Kalieva KD. Videolaparoscopic hernioplasty using a mesh endoprosthesis in the treatment of perineal hernia. Medicine and ecology. 2008; 4(49): 146-148. Russian (Аббатов Н.Т., Тургунов Е.М., Асанов М.А., Калиева К.Д. Видеолапароскопическая герниопластика с использованием сетчатого эндопротеза в лечении промежностных грыж //Медицина и экология. 2008. № 4(49). С. 146-148)
Domansky NA, Semiglazov VV, Karachun AM, Lebedev KK, Samsonov DV, Domansky AA. The results of use of myoplasty for closure of the pelvic floor defect after extralevator abdominoperineal excision of the rectum. Siberian journal of oncology. 2018; (6): 35-40. Russian (Доманский Н.А., Семиглазов В.В., Карачун А.М., Лебедев К.К., Самсонов Д.В., Доманский А.А. Результаты использования миопластики для закрытия дефекта тазового дна после экстралеваторной брюшно-промежностной экстирпации прямой кишки //Сибирский онкологический журнал. 2018. Т. 17, № 6. С. 35-40.) DOI: 10.21294/1814-4861-2018-17-6-35-40
Belyaev VS, Dykhno YuA, Nesytykh AA. Pelvic floor reconstruction after extralevator abdominoperineal excision of the rectum: a literature review. Siberian Oncological Journal. 2020; 19(2): 125-131. Russian (Беляев В.С., Дыхно Ю.А., Несытых А.А. Пластика тазового дна после экстралеваторной брюшно-промежностной экстирпации прямой кишки: обзор литературы //Сибирский онкологический журнал. 2020. Т. 19, № 2. С. 125-131.) DOI: 10.21294/1814-4861-2020-19-2-125-131
Coratti F, Nelli T, Cianchi F. Laparoscopic repair of perineal hernia after abdominoperineal excision of the rectum and anus – a video vignette. Colorectal Dis. 2020; 22(5): 591-592. DOI: 10.1111/codi.14939
Dahan M, Krief D, Pouget N, Rouzier R. Laparoscopic perineal hernia repair following pelvic exenteration: a case report. BMC Surg. 2021; 21(1): 245. DOI: 10.1186/s12893-021-01237-9
Genovese A, Giuliani G, Formisano G, Salvischiani L, Tribuzi A, Coratti A. Robotic perineal hernia repair with lateral mesh suspension-a video vignette. Colorectal Dis. 2022; 24(5): 670. DOI: 10.1111/codi.16062
Stamatiou D, Dakin A, Khalil H, Raju T, Fernandes R, Bowley D, Karandikar S. Perineal hernia repair using a bone fixation anchoring system for the mesh - a video vignette. Colorectal Dis. 2020; 22(11): 1806-1807. DOI: 10.1111/codi.15243