Gracilis muscle repair of perineal hernia following pelvic exenteration.

This report describes the use of a rotated gracilis muscle to repair a perineal hernia that occurred 18 months following pelvic exenteration for recurrence of cervical carcinoma. The anatomy of the gracilis muscle and the operative technique of the hernia repair are described. The gracilis muscle procedure offers a satisfactory correction for this complication of pelvic exenteration. The ability to mobilize the gracilis muscle for reconstructive procedures in the pelvis is a valuable procedure for the gynecologist.