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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v20.i2.80
pages 149-157

Perineal Hernias

Brian R. Kann
Residency in Colon and Rectal Surgery, University of Pennsylvania School of Medicine, Division of Colon and Rectal Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA

ABSTRACT

Perineal hernia is a protrusion of the intraabdominal viscera through a defect in the pelvic floor, and may be classified as primary (congenital or acquired) or secondary (postoperative). When symptomatic, surgical repair is warranted and may be performed using abdominal, perineal, combined abdominoperineal, or laparoscopic approaches. In rare instances, a primary repair may be performed, although in the majority of cases, successful repair of a perineal hernia requires the use of a synthetic graft, bioprosthetic graft, or autologous flap. This article reviews the classification, pathophysiology, diagnosis, and surgical management of perineal hernias.