{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:34:41Z","timestamp":1777448081440,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T00:00:00Z","timestamp":1651017600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Primary acquired perineal hernias are rare defects through the pelvic floor diaphragm. The optimal surgical technique for repair remains unknown, and recurrence rates approach 50%. We present a 65-year-old female without previous obstetric or pelvic surgical history who was found to have herniated sigmoid colon through a 2\u00d72\u00a0cm levator ani defect. The patient underwent robotic transabdominal hernia repair with a synthetic self-fixating underlay mesh. The peritoneum was primarily closed and the patient was discharged the same day. There is no sign of recurrence to date. Our minimally invasive approach with extraperitoneal mesh placement provided us with several advantages: ambulatory surgery; excellent visualization of the defect; easier suturing in the deep pelvis compared to traditional laparoscopy; and mesh reinforcement while minimizing the risks of erosion, migration, adhesion, and fistula formation.<\/jats:p>","DOI":"10.1177\/00031348221091967","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T15:45:32Z","timestamp":1651074332000},"page":"2223-2224","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Robotic Repair of a Symptomatic Perineal Hernia With Self-Fixating Synthetic Mesh"],"prefix":"10.1177","volume":"88","author":[{"given":"Joseph D.","family":"Mack","sequence":"first","affiliation":[{"name":"Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. Alan","family":"Hyde","sequence":"additional","affiliation":[{"name":"Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Health","family":"Giles","sequence":"additional","affiliation":[{"name":"Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Daniel","family":"Stanley","sequence":"additional","affiliation":[{"name":"Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,27]]},"reference":[{"key":"bibr1-00031348221091967","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-006-0114-2"},{"key":"bibr2-00031348221091967","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12800"},{"key":"bibr3-00031348221091967","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14952"},{"key":"bibr4-00031348221091967","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2016.00103"}],"container-title":["The American Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221091967","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221091967","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221091967","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:53Z","timestamp":1777379813000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221091967"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,27]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1177\/00031348221091967"],"URL":"https:\/\/doi.org\/10.1177\/00031348221091967","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,27]]}}}