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)
Pages (from-to)1981-1983
Number of pages3
JournalInternational Urogynecology Journal
Volume30
Issue number11
DOIs
StatePublished - Nov 1 2019

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Herniorrhaphy
Robotics
Hernia
Sutures
Polypropylenes
Prolapse
Hysterectomy

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology
  • Urology

Cite this

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

In: International Urogynecology Journal, Vol. 30, No. 11, 01.11.2019, p. 1981-1983.

Research output: Contribution to journalArticle

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