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Hernia
Published in: Hernia 5/2016

Open Access 01-10-2016 | Original Article

Is there a place for a biological mesh in perineal hernia repair?

Authors: G. D. Musters, O. Lapid, J. Stoker, B. F. Musters, W. A. Bemelman, P. J. Tanis

Published in: Hernia | Issue 5/2016

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Abstract

Purpose

This study aimed to determine the outcome of perineal hernia repair with a biological mesh after abdominoperineal resection (APR).

Method

All consecutive patients who underwent perineal hernia repair with a porcine acellular dermal mesh between 2010 and 2014 were included. Follow-up was performed by clinical examination and MRI.

Results

Fifteen patients underwent perineal hernia repair after a median of 25 months from APR. Four patients had a concomitant contaminated perineal defect, for which a gluteal fasciocutaneous flap was added in three patients. Wound infection occurred in three patients. After a median follow-up of 17 months (IQR 12–24), a clinically recurrent perineal hernia developed in 7 patients (47 %): 6 of 11 patients after a non-cross-linked mesh and 1 of 4 patients after a cross-linked mesh (p = 0.57). Routine MRI at a median of 17 months revealed a recurrent perineal hernia in 7 of 10 evaluable patients, with clinical confirmation of recurrence in 5 of these 7 patients. No recurrent hernia was observed in the three patients with combined flap reconstruction for contaminated perineal defects.

Conclusion

A high recurrence rate was observed after biological mesh repair of a perineal hernia following APR.
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Metadata
Title
Is there a place for a biological mesh in perineal hernia repair?
Authors
G. D. Musters
O. Lapid
J. Stoker
B. F. Musters
W. A. Bemelman
P. J. Tanis
Publication date
01-10-2016
Publisher
Springer Paris
Published in
Hernia / Issue 5/2016
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-016-1504-8

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