Remzi F H, Oncel M, Wu J S
Cleveland Clinic Foundation, Department of Colorectal Surgery, A-30, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.
Tech Coloproctol. 2005 Jul;9(2):142-4. doi: 10.1007/s10151-005-0213-6. Epub 2005 Jul 8.
Perineal hernia is a rare complication after major pelvic surgery. Placing non-biodegradable mesh across the pelvic inlet is the best method of repair. A 72-year-old man presented with a perineal hernia 8 years after undergoing an abdominoperineal resection because of rectal cancer. During the repair operation, intestinal spillage occurred, making it impossible to place permanent mesh as planned. Instead, we used the bladder to cover the pelvic inlet. The patient recovered well and after 35 months of follow-up, there was no evidence of hernia recurrence. When mesh placement is not feasible, this bladder mobilization technique can replace it.
会阴疝是大型盆腔手术后罕见的并发症。在盆腔入口处放置不可生物降解的补片是最佳修复方法。一名72岁男性因直肠癌接受腹会阴联合切除术后8年出现会阴疝。在修复手术过程中发生了肠内容物溢出，导致无法按计划放置永久性补片。相反，我们利用膀胱覆盖盆腔入口。患者恢复良好，经过35个月的随访，没有疝复发的迹象。当无法放置补片时，这种膀胱游离技术可以替代它。
