{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T11:37:28Z","timestamp":1769600248275,"version":"3.49.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acquired perineal hernia is a rare complication following extensive pelvic surgery. Radiotherapy is also a predisposing factor. Perineal hernia can cause chronic perineal pain, bowel obstruction, urinary disorders and a cosmetically disfiguring defect. The treatment of perineal hernia is surgical, usually consisting of mesh repair via an abdominal or perineal approach.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a case report and a surgical video of a 42-year-old woman with history of a squamous cell carcinoma. This patient had 3 recurrences since the diagnosis and a symptomatic perineal hernia. Complete regression of the recurrent malignancy allowed us to treat the perineal hernia. We performed laparoscopic repair with prosthetic mesh in this patient who had undergone multiple surgeries and radiotherapy, while preserving the omental flap that was used to reconstruct the posterior part of the vagina.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>There is no consensus concerning the preferred surgical approach, perineal or laparoscopic, as no study has demonstrated the superiority of either of these approaches. Laparoscopic repair for an acquired perineal hernia is safe and feasible. However, further studies including randomized trials are required to precisely evaluate the best surgical approach and type of mesh.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-021-01237-9","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T13:02:43Z","timestamp":1621342963000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Laparoscopic perineal hernia repair following pelvic exenteration: a case report"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6734-8699","authenticated-orcid":false,"given":"M\u00e9ryl","family":"Dahan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Krief","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Pouget","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Rouzier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"1237_CR1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.3389\/fsurg.2016.00049","volume":"3","author":"SK Narang","year":"2016","unstructured":"Narang SK, Alam NN, K\u00f6ckerling F, Daniels IR, Smart NJ. Repair of perineal hernia following abdominoperineal excision with biological mesh: a systematic review. Front Surg. 2016;3:49.","journal-title":"Front Surg"},{"key":"1237_CR2","unstructured":"Drissi et al. Perineal hernias: diagnosis, management, prevention. e-m\u00e9moires de l'Acad\u00e9mie Nationale de Chirurgie, 2017;16(2):065\u2013068."},{"issue":"2","key":"1237_CR3","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/s10029-019-01958-0","volume":"24","author":"NP McKenna","year":"2020","unstructured":"McKenna NP, Habermann EB, Larson DW, Kelley SR, Mathis KL. A 25 year experience of perineal hernia repair. Hernia. 2020;24(2):273\u20138.","journal-title":"Hernia"},{"issue":"10","key":"1237_CR4","doi-asserted-by":"publisher","first-page":"1564","DOI":"10.1007\/s10350-006-0669-0","volume":"49","author":"E Aboian","year":"2006","unstructured":"Aboian E, Winter DC, Metcalf DR, Wolff BG. Perineal hernia after proctectomy: prevalence, risks, and management. Dis Colon Rectum. 2006;49(10):1564\u20138.","journal-title":"Dis Colon Rectum"},{"key":"1237_CR5","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1016\/S0002-9610(39)90626-4","volume":"43","author":"FC Yeoman","year":"1939","unstructured":"Yeoman FC. Levator hernia, perineal and pudendal. Am J Surg. 1939;43:695\u20137.","journal-title":"Am J Surg"},{"issue":"7","key":"1237_CR6","doi-asserted-by":"publisher","first-page":"e400","DOI":"10.1111\/j.1463-1318.2012.02970.x","volume":"14","author":"M Mjoli","year":"2012","unstructured":"Mjoli M, Sloothaak DA, Buskens CJ, Bemelman WA, Tanis PJ. Perineal hernia repair after abdominoperineal resection: a pooled analysis. Colorectal Dis. 2012;14(7):e400\u20136.","journal-title":"Colorectal Dis"},{"issue":"5","key":"1237_CR7","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1007\/s10151-017-1634-8","volume":"21","author":"A Balla","year":"2017","unstructured":"Balla A, Batista Rodr\u00edguez G, Buonomo N, Martinez C, Hern\u00e1ndez P, Bollo J, et al. Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature. Tech Coloproctology. 2017;21(5):329\u201336.","journal-title":"Tech Coloproctology"},{"issue":"2","key":"1237_CR8","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1111\/ases.12420","volume":"11","author":"K Honjo","year":"2018","unstructured":"Honjo K, Sakamoto K, Motegi S, Tsukamoto R, Munakata S, Sugimoto K, et al. Case report of perineal hernia after laparoscopic abdominoperineal resection. Asian J Endosc Surg. 2018;11(2):173\u20136.","journal-title":"Asian J Endosc Surg"},{"issue":"2","key":"1237_CR9","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1007\/s10029-019-01927-7","volume":"24","author":"K Bertrand","year":"2020","unstructured":"Bertrand K, Lefevre JH, Creavin B, Luong M, Debove C, Voron T, et al. The management of perineal hernia following abdomino-perineal excision for cancer. Hernia. 2020;24(2):279\u201386.","journal-title":"Hernia"},{"issue":"6","key":"1237_CR10","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1111\/codi.14952","volume":"22","author":"RD Blok","year":"2020","unstructured":"Blok RD, Brouwer T, Sharabiany S, Musters GD, Hompes R, Bemelman WA, et al. Further insights in the treatment of perineal hernia based on a single tertiary centre experience. Colorectal Dis. 2020;22(6):694\u2013702.","journal-title":"Colorectal Dis"},{"key":"1237_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-020-02248-z","author":"EA Dijkstra","year":"2020","unstructured":"Dijkstra EA, Kahmann NLE, Hemmer PHJ, Havenga K, van Etten B. A low incidence of perineal hernia when using a biological mesh after extralevator abdominoperineal excision with or without pelvic exenteration or distal sacral resection in locally advanced rectal cancer patients. Tech Coloproctol. 2020. https:\/\/doi.org\/10.1007\/s10151-020-02248-z.","journal-title":"Tech Coloproctol."}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01237-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-021-01237-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01237-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T13:03:14Z","timestamp":1621342994000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01237-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,18]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1237"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01237-9","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,18]]},"assertion":[{"value":"24 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The IRB of Institut Curie directed by Dr Livartowski delivered a waiver of informed consent for this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images and video.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"245"}}