Department of Surgery, Suzaka Hospital, 1332 Ooaza Suzaka, Suzaka, Nagano, 382-0091, Japan.
Surg Today. 2010 Mar;40(3):277-80. doi: 10.1007/s00595-008-4036-8. Epub 2010 Feb 24.
Perineal hernias rarely develop spontaneously, and their treatment is controversial. We report a case of a primary perineal posterior hernia in an 81-year-old woman, who presented with progressive bulging in the perineal area, preventing comfortable excretion. The diagnosis was established by herniography. We operated via an abdominal approach and repaired the hernia by reconstructing the pelvic floor using the uterus. To our knowledge, reconstruction using the uterus to repair a pelvic defect has not been reported before.
会阴疝很少自发形成，其治疗存在争议。我们报告了一例 81 岁女性的原发性会阴后疝，她因会阴区逐渐膨出而就诊，导致排便不畅。通过疝造影确诊。我们采用腹部入路手术，通过使用子宫重建骨盆底来修复疝。据我们所知，以前尚未有使用子宫重建骨盆缺陷的报道。
