{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:44:48Z","timestamp":1773269088891,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,10]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>A 75-year-old woman presented with perineal wound dehiscence and small bowel prolapse of a perineal hernia, 6\u2009years after extra-Levator AbdominoPerineal Excision (eLAPE) procedure for rectal cancer. She underwent emergency wound refashioning and perineal hernia repair with Parmacol mesh. Her postoperative recovery was complicated by long-standing ileus, wound infection, and she was discharged to community palliative care services. In this case report, we raise awareness of postoperative eLAPE complications and describe an unfortunate case where a postoperative perineal hernia was not repaired in a patient with multiple comorbidities.<\/jats:p>","DOI":"10.1136\/bcr-2020-238562","type":"journal-article","created":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T14:20:22Z","timestamp":1610029222000},"page":"e238562","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Extra-Levator AbdominoPerineal excision (eLAPE): a complicated postoperative perineal hernia"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5822-542X","authenticated-orcid":false,"given":"Holly","family":"Harris","sequence":"first","affiliation":[{"name":"Brighton General Surgical Department, Brighton & Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kausik","family":"Ray","sequence":"additional","affiliation":[{"name":"Brighton General Surgical Department, Brighton & Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christie","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Brighton General Surgical Department, Brighton & Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,7]]},"reference":[{"key":"2025082711270973000_14.1.e238562.1","doi-asserted-by":"crossref","first-page":"894-9","DOI":"10.1001\/archsurg.133.8.894","article-title":"Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997","volume":"133","author":"Heald","year":"1998","journal-title":"Arch Surg"},{"key":"2025082711270973000_14.1.e238562.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.05.001"},{"key":"2025082711270973000_14.1.e238562.3","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/codi.12843","article-title":"Perineal hernia formation following extralevator abdominoperineal excision","volume":"17","author":"Sayers","year":"2015","journal-title":"Colorectal Dis"},{"key":"2025082711270973000_14.1.e238562.4","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6916"},{"key":"2025082711270973000_14.1.e238562.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2012.03169.x"},{"key":"2025082711270973000_14.1.e238562.6","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1111\/codi.13423","article-title":"The LOREC ape registry: operative technique, oncological outcome and perineal wound healing after abdominoperineal excision","volume":"19","author":"Jones","year":"2017","journal-title":"Colorectal Dis"},{"key":"2025082711270973000_14.1.e238562.7","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1007\/s00384-013-1660-6","article-title":"Perineal reconstruction after extra-levator abdominoperineal excision (eLAPE): a systematic review","volume":"28","author":"Butt","year":"2013","journal-title":"Int J Colorectal Dis"},{"key":"2025082711270973000_14.1.e238562.8","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s10151-017-1634-8","article-title":"Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature","volume":"21","author":"Balla","year":"2017","journal-title":"Tech Coloproctol"},{"key":"2025082711270973000_14.1.e238562.9","doi-asserted-by":"crossref","first-page":"e400-6","DOI":"10.1111\/j.1463-1318.2012.02970.x","article-title":"Perineal hernia repair after abdominoperineal resection: a pooled analysis","volume":"14","author":"Mjoli","year":"2012","journal-title":"Colorectal Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:27:20Z","timestamp":1756319240000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,7]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-238562"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238562","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}