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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Charbel Salamon, MD is a consultant for Boston Scientific, Intuitive Surgical, and Caldera. Andrea M. Avondstondt, MD and Dima Ezzedine, MD declare that they have no conflicts of interest.
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Written informed consent was obtained from the patient for publication of this article, video, and any accompanying images. The Atlantic Health System institutional review board (IRB) deemed this manuscript exempt from IRB review.
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Avondstondt, A.M., Ezzedine, D. & Salamon, C. Perineal hernia repair using permanent suture and mesh: a video case presentation. Int Urogynecol J 30, 1981–1983 (2019). https://doi.org/10.1007/s00192-019-03956-3
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DOI: https://doi.org/10.1007/s00192-019-03956-3