Rasmussen H M, Frederiksen H J
Mave-tarmkirurgisk afsnit, kirurgisk afdeling K, Bispebierg Hospital, København.
Ugeskr Laeger. 1993 Sep 6;155(36):2817-8.
Perineal hernia after abdominoperineal extirpation of the rectum is a rare condition. The most common symptom is perinea/discomfort and bulging. This condition most often develops within a year after extirpation of the rectum. In order to prevent perineal hernia great effort should be taken when closing the peritoneum and the muscular layer towards the pelvic cave. Several repair operations have been proposed in the literature. The authors recommend a transabdominal approach, possibly with interposition of a synthetic mesh. If the perineal skin is damaged, a combined approach with both transabdominal and perineal access should be used.
直肠腹会阴联合切除术后的会阴疝是一种罕见病症。最常见的症状是会阴区不适和隆起。这种病症最常发生在直肠切除术后一年内。为预防会阴疝，在缝合朝向盆腔的腹膜和肌肉层时应格外注意。文献中已提出多种修复手术方法。作者推荐经腹入路，可能需置入合成补片。如果会阴皮肤受损，则应采用经腹和会阴联合入路。
