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Published in: Langenbeck's Archives of Surgery 3/2005

01-06-2005 | Original Article

Use of bone anchors in perineal hernia repair: a practical note

Authors: Frederik Berrevoet, Piet Pattyn

Published in: Langenbeck's Archives of Surgery | Issue 3/2005

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Abstract

Background

Bone anchoring systems are used extensively in orthopaedic surgery but have scarcely been reported as useful in abdominal wall or perineal hernia repair. After coccygectomy or sacrectomy the development of bowel herniation is not uncommon. Considering repair of such a perineal hernia, adequate fixation of the prosthetic mesh is difficult and, therefore, recurrence is rather frequent, mostly due to insufficient anchoring of the mesh to the bony structures.

Methods

We discuss a patient in which the Mitek GII anchoring system was used to overcome the problem of soft-tissue-to-bone attachment in such cases.

Conclusion

Bone anchoring systems seem to be an efficient method to overcome the problems of soft-tissue-to bone attachment in both abdominal and perineal hernia repair.
Literature
1.
go back to reference Santora TA, Kaplan LJ, Sherk HH (1998) Perineal hernia: an undescribed complication following sacrectomy. Orthopedics 21:203–205PubMed Santora TA, Kaplan LJ, Sherk HH (1998) Perineal hernia: an undescribed complication following sacrectomy. Orthopedics 21:203–205PubMed
2.
go back to reference Garcia FJ, Franco JD, Marquez R, Martinez JA, Medina J (1998) Posterior hernia of the rectum after coccygectomy. Eur J Surg 164:793–794CrossRefPubMed Garcia FJ, Franco JD, Marquez R, Martinez JA, Medina J (1998) Posterior hernia of the rectum after coccygectomy. Eur J Surg 164:793–794CrossRefPubMed
3.
go back to reference Frydman GM, Polglase AL(1989) Perineal approach for polypropylene mesh repair of perineal hernia. Aust N Z J Surg 59:895–897PubMed Frydman GM, Polglase AL(1989) Perineal approach for polypropylene mesh repair of perineal hernia. Aust N Z J Surg 59:895–897PubMed
4.
go back to reference Villar F, Frampas E, Mirallie E, Potiron L, Villet R, Lehur PA (2003) Perineal incisional hernia following rectal resection. Diagnosis and management. Ann Chir 128:246–250CrossRefPubMed Villar F, Frampas E, Mirallie E, Potiron L, Villet R, Lehur PA (2003) Perineal incisional hernia following rectal resection. Diagnosis and management. Ann Chir 128:246–250CrossRefPubMed
5.
go back to reference Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398CrossRefPubMed Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398CrossRefPubMed
6.
go back to reference Rehak DC, Sotereanos DG, Bowman MW, Herndon JH (1994) The Mitek bone anchor: application to the hand, wrist and elbow. J Hand Surg [Am] 19:853–860 Rehak DC, Sotereanos DG, Bowman MW, Herndon JH (1994) The Mitek bone anchor: application to the hand, wrist and elbow. J Hand Surg [Am] 19:853–860
7.
go back to reference Hom D, Desautel MG, Lumerman JH, Feraren RE, Badlani GH (1998) Pubovaginal sling using polypropylene mesh and vesica bone anchors. Urology 51:708–713CrossRefPubMed Hom D, Desautel MG, Lumerman JH, Feraren RE, Badlani GH (1998) Pubovaginal sling using polypropylene mesh and vesica bone anchors. Urology 51:708–713CrossRefPubMed
8.
go back to reference Fergestad J, Noonan KJ, Mack E (2003) An innovative approach for repair of complex inguinal and abdominal wall hernias. J Am Coll Surg 197:1050–1052CrossRefPubMed Fergestad J, Noonan KJ, Mack E (2003) An innovative approach for repair of complex inguinal and abdominal wall hernias. J Am Coll Surg 197:1050–1052CrossRefPubMed
9.
go back to reference Rossouw DJ, McElroy BJ, Amis AA, Emery RJ (1997) A biomechanical evaluation of suture anchors in repair of the rotator cuff. J Bone Joint Surg Br 79:458–461CrossRefPubMed Rossouw DJ, McElroy BJ, Amis AA, Emery RJ (1997) A biomechanical evaluation of suture anchors in repair of the rotator cuff. J Bone Joint Surg Br 79:458–461CrossRefPubMed
10.
go back to reference Enzler M, Agins HJ, Kogan M, Kudurna J, Sand P, Wurtz R, Culligan P (1999) Osteomyelitis of the pubis following suspension of the neck of the bladder with use of bone anchors: a report of four cases. J Bone Joint Surg Am 81:1736–1740PubMed Enzler M, Agins HJ, Kogan M, Kudurna J, Sand P, Wurtz R, Culligan P (1999) Osteomyelitis of the pubis following suspension of the neck of the bladder with use of bone anchors: a report of four cases. J Bone Joint Surg Am 81:1736–1740PubMed
Metadata
Title
Use of bone anchors in perineal hernia repair: a practical note
Authors
Frederik Berrevoet
Piet Pattyn
Publication date
01-06-2005
Publisher
Springer-Verlag
Published in
Langenbeck's Archives of Surgery / Issue 3/2005
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-004-0523-6

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