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Prevention of perineal hernia after laparoscopic and robotic abdominoperineal resection: review with illustrative case series of internal hernia through pelvic mesh

Authors
 George Melich  ;  Dae Ro Lim  ;  Hyuk Hur  ;  Byung Soh Min  ;  Seung Hyuk Baik  ;  Goffredo O. Arena  ;  Philip H. Gordon  ;  Nam Kyu Kim 
Citation
 CANADIAN JOURNAL OF SURGERY, Vol.59(1) : 54-58, 2016 
Journal Title
CANADIAN JOURNAL OF SURGERY
ISSN
 0008-428X 
Issue Date
2016
MeSH
Aged, 80 and over ; Digestive System Surgical Procedures/adverse effects* ; Female ; Humans ; Incisional Hernia/etiology ; Incisional Hernia/prevention & control* ; Laparoscopy/adverse effects* ; Male ; Middle Aged ; Perineum/surgery* ; Surgical Mesh/adverse effects*
Abstract
This review is intended to raise awareness of placing a pelvic mesh to prevent perineal hernias in cases of minimally invasive (MIS) abdominoperineal resections (APR) and, in doing so, causing internal hernias through the mesh. In this article, we review the published literature and present an illustrative series of 4 consecutive cases of early internal hernia through a pelvic mesh defect. These meshes were placed to prevent perineal hernias after laparoscopic or robotic APRs. The discussion centres on 3 key questions: Should one be placing a pelvic mesh following an APR? What are some of the technical details pertaining to the initial mesh placement? What are the management options related to internal hernias through such a mesh?
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152419
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