Perineal Hernia after Laparoscopic Abdominoperineal Resection for Rectal Cancer: A Case Report and Review of the Literature

Zhenhua He^1*, Gaoyong Zhu¹, Sen Zhang²

¹Department of Gastrointestinal Surgery, He Zhou People’s Hospital, Guangxi, China.
²Department of Colorectal Surgery, The First Affiliated Hospital, Guangxi Medical University, Guangxi, China.

DOI: 10.4236/jct.2015.62024                

Abstract

Perineal hernias are uncommon complications following laparoscopic abdominoperineal operations. There is still very little known about perineal hernia. There are only few case reports to describe the repair of postoperative hernias after laparoscopic abdominoperineal resection (APR) in the literature. Here we present one patient with a perineal hernia after laparoscopic abdominoperineal resection for rectal cancer. The surgical management with manual purse-string suture is described and discussed in this case report.

Keywords

Perineal Hernia, Laparoscopic, Abdominoperineal Resection

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	So, J.B., Palmer, M.T. and Shellito, P.C. (1997) Postoperative Perineal Hernia. Diseases of the Colon & Rectum, 40, 954-957. http://dx.doi.org/10.1007/BF02051204
[2]	de Campos, F.G., Habr-Gama, A., Araujo, S.E., Sousa Jr., A.H., Nahas, C.R., Lupinacci, R.M., Nahas, S.C., Kiss, D.R. and Gama-Rodrigues, J. (2005) Incidence and Management of Perineal Hernia after Laparoscopic Proctectomy. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 15, 366-370. http://dx.doi.org/10.1097/01.sle.0000191592.93326.63
[3]	Mjoli, M., Sloothaak, D.A., Buskens, C.J., Bemelman, W.A. and Tanis, P.J. (2012) Perineal Hernia Repair after Abdominoperineal Resection: A Pooled Analysis. Colorectal Disease, 14, e400-e406. http://dx.doi.org/10.1111/j.1463-1318.2012.02970.x
[4]	Buunen, M., Veldkamp, R., Hop, W.C., Kuhry, E., Jeekel, J., Haglind, E., Pahlman, L., Cuesta, M.A., Msika, S., Morino, M., Lacy, A. and Bonjer, H.J. (2009) Survival after Laparoscopic Surgery versus Open Surgery for Colon Cancer: Long-Term Outcome of a Randomised Clinical Trial. The Lancet Oncology, 10, 44-52. http://dx.doi.org/10.1016/S1470-2045(08)70310-3
[5]	Buchanan, G.N., Malik, A., Parvaiz, A., Sheffield, J.P. and Kennedy, R.H. (2008) Laparoscopic Resection for Colorectal Cancer. British Journal of Surgery, 95, 893-902. http://dx.doi.org/10.1002/bjs.6019
[6]	Hosono, S., Ohtani, H., Arimoto, Y. and Kanamiya, Y. (2007) Internal Hernia with Strangulation through a Mesenteric Defect after Laparoscopy-Assisted Transverse Colectomy: Report of a Case. Surgery Today, 37, 330-334. http://dx.doi.org/10.1007/s00595-006-3405-4
[7]	Jimi, S., Hotokezaka, M., Eto, T.A., Hidaka, H., Maehara, N., Matsumoto, K. and Chijiiwa, K. (2007) Internal Herniation through the Mesenteric Opening after Laparoscopy-Assisted Right Colectomy: Report of a Case. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 17, 339-341. http://dx.doi.org/10.1097/SLE.0b013e31806bf493
[8]	Leslie, M.K.G., Sobin, H. and Wittekind, C. (2011) TNM Classification of Malignant Tumours. 7th Edition, Wiley-Liss, New York.
[9]	Duepree, H.J., Senagore, A.J., Delaney, C.P. and Fazio, V.W. (2003) Does Means of Access Affect the Incidence of Small Bowel Obstruction and Ventral Hernia after Bowel Resection? Laparoscopy versus Laparotomy. Journal of the American College of Surgeons, 197, 177-181. http://dx.doi.org/10.1016/S1072-7515(03)00232-1
[10]	Veenhof, A.A., van der Peet, D.L. and Cuesta, M.A. (2007) Perineal Hernia after Laparoscopic Abdominoperineal Resection for Rectal Cancer: Report of Two Cases. Diseases of the Colon & Rectum, 50, 1271-1274. http://dx.doi.org/10.1007/10350-007-0214-9
[11]	Akatsu, T., Murai, S., Kamiya, S., Kojima, K., Mizuhashi, Y., Hasegawa, H. and Kitagawa, Y. (2009) Perineal Hernia as a Rare Complication after Laparoscopic Abdominoperineal Resection: Report of a Case. Surgery Today, 39, 340-343. http://dx.doi.org/10.1007/s00595-008-3851-2
[12]	Berendzen, J. and Copas Jr., P. (2011) Recurrent Perineal Hernia Repair: A Novel Approach. Hernia, 17, 141-144.
[13]	Portilla, A.G., Martin, E., de Lecea, C.M., Gomez, C., Magrach, L., Cendoya, I. and Uzquiza, E. (2010) Recurrent Post-operative Perineal Hernia: Laparoscopic Redo Mesh Repair. Hernia, 14, 535-537. http://dx.doi.org/10.1007/s10029-009-0574-2
[14]	Ruiz, D.E., Khaikin, M., Vivas, D., Newman, M. and Wexner, S.D. (2007) Multimedia Article. Recurrent Postoperative Perineal Hernia: Transperineal Redo Mesh Repair. Diseases of the Colon Rectum, 50, 1080-1081. http://dx.doi.org/10.1007/s10350-007-0232-7
[15]	Corral, J., Yelamos, J., Hernandez-Espinosa, D., Monreal, Y., Mota, R., Arcas, I., Minano, A., Parrilla, P. and Vicente, V. (2005) Role of Lipopolysaccharide and Cecal Ligation and Puncture on Blood Coagulation and Inflammation in Sensitive and Resistant Mice Models. American Journal of Pathology, 166, 1089-1098. http://dx.doi.org/10.1016/S0002-9440(10)62329-2
[16]	Dromain, C., Leboulleux, S., Auperin, A., Goere, D., Malka, D., Lumbroso, J., Schumberger, M., Sigal, R. and Elias, D. (2007) Staging of Peritoneal Carcinomatosis: Enhanced CT vs. PET/CT. Abdominal Imaging, 33, 87-93. http://dx.doi.org/10.1007/s00261-007-9211-7
[17]	Rayhanabad, J., Sassani, P. and Abbas, M.A. (2009) Laparoscopic Repair of Perineal Hernia. Journal of the Society of Laparoendoscopic Surgeons, 13, 237-241.
[18]	Ryan, S., Kavanagh, D.O. and Neary, P.C. (2010) Laparoscopic Repair of Postoperative Perineal Hernia. Case Reports in Medicine, 2010, Article ID: 126483.
[19]	Svane, M. and Bulut, O. (2012) Perineal Hernia after Laparoscopic Abdominoperineal Resection—Reconstruction of the Pelvic Floor with a Biological Mesh (PermacolTM). International Journal of Colorectal Disease, 27, 543-544. http://dx.doi.org/10.1007/s00384-011-1253-1