Andrea M Avondstondt1, Dima Ezzedine2, Charbel Salamon3. 1. Department of Urogynecology and Reconstructive Surgery, Atlantic Health System, 435 South St. Suite #370, Morristown, NJ, 07940, USA. andrea.avondstondt@atlantichealth.org. 2. Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA. 3. Department of Urogynecology and Reconstructive Surgery, Atlantic Health System, 435 South St. Suite #370, Morristown, NJ, 07940, USA.
Abstract
INTRODUCTION: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. METHODS: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. RESULTS: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. CONCLUSIONS: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.
INTRODUCTION: Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh. METHODS: A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed. RESULTS: Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect. CONCLUSIONS: Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.
Authors: Rafael Mendes Moroni; Pedro Sérgio Magnani; Francisco José Candido-Dos-Reis; Luiz Gustavo Oliveira Brito Journal: Int Urogynecol J Date: 2013-02-22 Impact factor: 2.894