Kann Brian R
University of Pennsylvania School of Medicine, Division of Colon and Rectal Surgery, Penn Presbyterian Medical Center, Philadelphia, PA 19104, USA.
J Long Term Eff Med Implants. 2010;20(2):149-57. doi: 10.1615/jlongtermeffmedimplants.v20.i2.80.
Perineal hernia is a protrusion of the intraabdominal viscera through a defect in the pelvic floor, and may be classified as primary (congenital or acquired) or secondary (postoperative). When symptomatic, surgical repair is warranted and may be performed using abdominal, perineal, combined abdominoperineal, or laparoscopic approaches. In rare instances, a primary repair may be performed, although in the majority of cases, successful repair of a perineal hernia requires the use of a synthetic graft, bioprosthetic graft, or autologous flap. This article reviews the classification, pathophysiology, diagnosis, and surgical management of perineal hernias.
会阴疝是腹腔内脏器通过盆底缺损突出形成的疝，可分为原发性（先天性或后天性）或继发性（术后）。出现症状时，有必要进行手术修复，可采用经腹、经会阴、经腹会阴联合或腹腔镜手术方式。在极少数情况下，可进行一期修复，不过在大多数病例中，成功修复会阴疝需要使用合成移植物、生物假体移植物或自体皮瓣。本文综述了会阴疝的分类、病理生理学、诊断及手术治疗。
