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Combined perineal hernia repair and abdominal parastomal hernia with mesh for sequela of an abdominoperineal resection


1 Department of Obstetrics and Gynecology, Division of Urogynecology, Northwell Health, North Shore University Hospital, Manhasset, New York, NY, USA
2 Department of Surgery, Northwell Health, Lenox Hill Hospital, New York, NY, USA
3 Department of Obstetrics and Gynecology, Division of Urogynecology, Northwell Health, Lenox Hill Hospital, New York, NY, USA

Correspondence Address:
Katherine C McDonald,
Department of Urogynecology, Northwell Health, 865 Northern Blvd Suite 202, Great Neck, NY 11021
USA
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Source of Support: None, Conflict of Interest: None

Clinically, significant perineal hernias are rare, occurring in <1% of all hernias. They may be congenital but are most commonly acquired and secondary to abdominoperineal resection (APR) or pelvic exenteration as treatments for cancer. We report a novel case of a combined perineal hernia and abdominal parastomal hernia and our approach for repair with mesh. The perineal hernia repair utilized a composite mesh implant, which was anchored to Cooper's ligament and the anterior longitudinal ligament. The parastomal hernia required component separation and re-siting of the stoma. This case describes a unique method for repairing the uncommon sequelae of concurrent perineal and parastomal hernias after an APR for rectal cancer.


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    -  McDonald KC
    -  Borger P
    -  Webman R
    -  Kwon SY
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