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Composite mesh and gluteal fasciocutaneous rotation flap for perineal hernia repair after abdominoperineal resection: a novel technique

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Abstract

Perineal hernia is an uncommon complication following abdominoperineal rectum resection. Several surgical procedures have been proposed for perineal hernia repair, including perineal, laparoscopic and abdominal approaches. Repair techniques can be classified into primary suture techniques, mesh placements and repairs with autogenous tissue. We report a 68-year-old man with a perineal hernia, who underwent a pelvic floor reconstruction with a transperineal composite mesh and a gluteal fasciocutaneous rotation flap. We conclude that a combined approach with transperineal mesh reconstruction and gluteal fasciocutaneous flap could be an alternative choice in perineal hernia repair after abdominoperineal resection.

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Authors and Affiliations

  1. Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, Helios Klinikum Wuppertal, University Hospital Witten-Herdecke, Heusnerstr. 40, 42283, Wuppertal, Germany

    Marios Papadakis, Gunnar Hübner, Marzena Bednarek & Mohamed Arafkas

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  1. Marios Papadakis
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  2. Gunnar Hübner
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  3. Marzena Bednarek
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  4. Mohamed Arafkas
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Correspondence to Marios Papadakis.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained by patient concerning the present publication.

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Papadakis, M., Hübner, G., Bednarek, M. et al. Composite mesh and gluteal fasciocutaneous rotation flap for perineal hernia repair after abdominoperineal resection: a novel technique. Updates Surg 69, 109–111 (2017). https://doi.org/10.1007/s13304-017-0427-y

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  • DOI: https://doi.org/10.1007/s13304-017-0427-y

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