Abstract：
UNASSIGNED: Perineal hernias are protrusions of intra-abdominal contents resulting from weakness of the pelvic floor muscles. They are an uncommon complication after ultraradical pelvic surgeries, with no established gold standard for surgical treatment. This case describes a rare anterior perineal hernia that developed after radical surgery for bladder carcinoma.
METHODS: A 77-year-old Caucasian woman presented with a painful 10 cm bulge in the perineal region. The hernial sac involved the entire left labia majora and developed 4 years after radical surgery for bladder carcinoma. She had been misdiagnosed twice in the past with vaginal prolapse, leading to two unsuccessful vaginoplasty procedures due to recurrence. She underwent hernia repair with perineal approach and polypropylene mesh placement. The postoperative period was uncomplicated, and the patient was discharged after five days, with histology showing no malignancy.
UNASSIGNED: Perineal hernias are protrusions of intra- or extraperitoneal contents into the perineum due to a defect in the pelvic musculature. Various surgical modalities exist for perineal hernia repair, which adhere to the fundamental principles of hernia surgery: sac mobilization, precise incision, sac debridement and excision, and defect repair. Here, we successfully applied the perineal approach in a complicated case of a misdiagnosed perineal hernia after radical surgery.
CONCLUSIONS: The perineal approach for hernia repair, involving an implantation of a polypropylene mesh and tissue flap was successfully applied, confirming its main place in the surgical treatment of perineal hernias. During the two-year follow-up no postoperative complications or recurrence hernia were registered.
METHODS: A 77-year-old Caucasian woman presented with a painful 10 cm bulge in the perineal region. The hernial sac involved the entire left labia majora and developed 4 years after radical surgery for bladder carcinoma. She had been misdiagnosed twice in the past with vaginal prolapse, leading to two unsuccessful vaginoplasty procedures due to recurrence. She underwent hernia repair with perineal approach and polypropylene mesh placement. The postoperative period was uncomplicated, and the patient was discharged after five days, with histology showing no malignancy.
UNASSIGNED: Perineal hernias are protrusions of intra- or extraperitoneal contents into the perineum due to a defect in the pelvic musculature. Various surgical modalities exist for perineal hernia repair, which adhere to the fundamental principles of hernia surgery: sac mobilization, precise incision, sac debridement and excision, and defect repair. Here, we successfully applied the perineal approach in a complicated case of a misdiagnosed perineal hernia after radical surgery.
CONCLUSIONS: The perineal approach for hernia repair, involving an implantation of a polypropylene mesh and tissue flap was successfully applied, confirming its main place in the surgical treatment of perineal hernias. During the two-year follow-up no postoperative complications or recurrence hernia were registered.
摘要：
■会阴疝是由于盆底肌肉无力导致的腹内内容物突出。他们是一个罕见的并发症后，超尖端骨盆手术，没有建立手术治疗的黄金标准。该病例描述了一种罕见的会阴前疝，该疝在膀胱癌根治性手术后发展。
方法：一名77岁的白种人女性会阴区出现10厘米的疼痛隆起。疝囊累及整个左阴唇，并在膀胱癌根治性手术后4年发展。她过去曾两次被误诊为阴道脱垂，由于复发导致两次阴道成形术不成功。她接受了会阴入路和聚丙烯网片置入术的疝修补术。术后时间并不复杂,五天后病人出院了，组织学显示没有恶性肿瘤。
■会阴疝是由于骨盆肌肉组织缺损而使腹膜内或腹膜外内容物突出进入会阴。会阴疝修补术有多种手术方式，坚持疝气手术的基本原则：囊动员，精确切口,囊清创术和切除术，和缺陷修复。这里,我们成功地将会阴入路应用于一例复杂的会阴疝根治术后误诊病例。
结论：会阴疝修补术，成功应用了聚丙烯网状物和组织瓣的植入，确认其在会阴疝手术治疗中的主要地位。在两年的随访中，没有记录到术后并发症或复发疝。
方法：一名77岁的白种人女性会阴区出现10厘米的疼痛隆起。疝囊累及整个左阴唇，并在膀胱癌根治性手术后4年发展。她过去曾两次被误诊为阴道脱垂，由于复发导致两次阴道成形术不成功。她接受了会阴入路和聚丙烯网片置入术的疝修补术。术后时间并不复杂,五天后病人出院了，组织学显示没有恶性肿瘤。
■会阴疝是由于骨盆肌肉组织缺损而使腹膜内或腹膜外内容物突出进入会阴。会阴疝修补术有多种手术方式，坚持疝气手术的基本原则：囊动员，精确切口,囊清创术和切除术，和缺陷修复。这里,我们成功地将会阴入路应用于一例复杂的会阴疝根治术后误诊病例。
结论：会阴疝修补术，成功应用了聚丙烯网状物和组织瓣的植入，确认其在会阴疝手术治疗中的主要地位。在两年的随访中，没有记录到术后并发症或复发疝。
