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https://doi.org/10.1097/SLA.0000000000003915

has been cited by the following article:

• TITLE: A Case of Pelvic Floor Peritoneal Hernia after Miles’ Surgery

  AUTHORS: Zhengwen Xu, Fugen Li, Meng Sun, Chuan Qian, Wenjun Luo, Xiaorong Zhu

  KEYWORDS: Miles’ Operation Pelvic Floor Peritoneal Hernia Intestinal Obstruction

  JOURNAL NAME: Surgical Science, Vol.13 No.4, April 28, 2022

  ABSTRACT: Objective: To investigate the causes and preventive measures of pelvic floor peritoneal hernia after transabdominal perineal radical resection of rectal cancer. Patients and Methods: A 68-year-old patient with progressive exacerbation of Miles’ postoperative intestinal obstruction was retrospectively analyzed. Conservative treatment was ineffective, and surgery was performed again. Surgery confirmed that the obstruction was caused by a pelvic floor peritoneal hernia. The original reconstruction peritoneal suture needle spacing was too wide, resulting in peritoneal hiatus. Results: The early postoperative intestinal obstruction in this patient was not caused by inflammatory intestinal obstruction, stenosis of stoma, and intestinal adhesion, but by the formation of pelvic floor peritoneal hernia. Conclusion: Pelvic floor peritoneal hernia should not be ignored in the early stage of intestinal obstruction after Miles’ operation. Improper suture during pelvic floor peritoneal reconstruction is the main cause of pelvic floor peritoneal hernia.