Perineal hernia repair using permanent suture and mesh

a video case presentation

Andrea M. Avondstondt, Dima Ezzedine, Charbel Salamon

Research output: Contribution to journalArticle

Abstract

Introduction: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. Methods: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. Results: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. Conclusions: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.

Original languageEnglish (US)
JournalInternational Urogynecology Journal
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Herniorrhaphy
Robotics
Hernia
Sutures
Polypropylenes
Prolapse
Hysterectomy

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Urology

Cite this

@article{46e1df2c06fa46c8bebfbdd1823d8006,
title = "Perineal hernia repair using permanent suture and mesh: a video case presentation",
abstract = "Introduction: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. Methods: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. Results: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. Conclusions: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.",
author = "Avondstondt, {Andrea M.} and Dima Ezzedine and Charbel Salamon",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00192-019-03956-3",
language = "English (US)",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",

}

Perineal hernia repair using permanent suture and mesh : a video case presentation. / Avondstondt, Andrea M.; Ezzedine, Dima; Salamon, Charbel.

In: International Urogynecology Journal, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perineal hernia repair using permanent suture and mesh

T2 - a video case presentation

AU - Avondstondt, Andrea M.

AU - Ezzedine, Dima

AU - Salamon, Charbel

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. Methods: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. Results: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. Conclusions: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.

AB - Introduction: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. Methods: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. Results: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. Conclusions: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.

UR - http://www.scopus.com/inward/record.url?scp=85066790726&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066790726&partnerID=8YFLogxK

U2 - 10.1007/s00192-019-03956-3

DO - 10.1007/s00192-019-03956-3

M3 - Article

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

ER -