{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T15:27:42Z","timestamp":1781969262676,"version":"3.54.5"},"reference-count":44,"publisher":"Index Copernicus","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2022,4,7]]},"abstract":"<jats:p>&lt;b&gt;Introduction:&lt;\/b&gt; Perineal hernia (PH), also termed pelvic floor hernia, is a protrusion of intraabdominal viscera into the perineum through a defect in the pelvic floor.  &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Aim:&lt;\/b&gt;  The  study  was  conducted  to  evaluate  the  cases  of  perineal  hernia  resulting  as  a  complication  of  abdominoperineal  resection (APR) of rectal cancer. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;  Material   and   methods:&lt;\/b&gt;  30  cases  from  24  articles  published  in  reputable  peer  reviewed  journals  were  evaluated  for  eight  variables  including  [I]  patient  age,  [II]  gender,  [III]  time  since  APR,  [IV]  clinical  presentation,  [V]  approach  to  repair,  [VI]  type  of  repair, [VII] presence\/absence of pelvic adhesions [VIII] complications. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Results:&lt;\/b&gt; There was a total of 30 cases (18 males and 12 females) with a mean age of 71.5 years. The time of onset of symptoms ranged from  6  days  to  12  years.  Perineal  lump  with  pain  was  the  chief  presenting  feature  followed  by  intestinal  obstruction.  Different  approaches were adopted to repair by various methods. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Conclusions:&lt;\/b&gt; Perineal hernia as a complication of abdominoperineal resection is reported increasingly nowadays, as the approach to management of rectal cancer has gradually got shifted from open to minimally invasive in recent years. There is a need to spread awareness  about  this  condition,  so  that  it  is  actively  looked  for,  during  the  postoperative  follow-up.  Management  is  surgical  repair; the approach and type of repair should be individualized.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0015.7677","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T11:26:07Z","timestamp":1654773967000},"page":"61-70","source":"Crossref","is-referenced-by-count":8,"title":["Perineal hernia after abdominoperineal resection \u2013 a systematic review"],"prefix":"10.5604","volume":"94","author":[{"given":"Sajad Ahmad","family":"Salati","sequence":"first","affiliation":[{"name":"Unaizah College of Medicine and Medical Sciences, Qassim University, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr Y.","family":"Arkoubi","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"227494r1","doi-asserted-by":"crossref","unstructured":"Narang S.K., Alam N.N., K\u00f6ckerling F., Daniels I.R., Smart N.J.: Repair of perine-al hernia following abdominoperineal excision with biological mesh: a systematic review. 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