SynthesisTechniques in coloproctology2017
Perineal hernia repair after abdominoperineal excision or extralevator abdominoperineal excision: a systematic review of the literature.
Synthesis in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Minimally invasive versus open abdominoperineal resection and the risk of postoperative perineal hernia: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Mesh, flap or combined repair of perineal hernia after abdominoperineal resection - A systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022Pooled it
- Comparison of perineal morbidity between biologic mesh reconstruction and primary closure following extralevator abdominoperineal excision: a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- Article
- Anterior Perineal Hernia following Robot-Assisted Radical Cystectomy in a Male Patient: A Case of Transperineal Mesh Repair.Surgical case reports · 2026Article
- Perineal hernia repair with a combined abdominoperineal approach with biologic mesh placement and peritoneal flap reconstruction.Journal of surgical case reports · 2024Article
- Anterior perineal hernia - A case report of a rare complication after pelvic exenteration.International journal of surgery case reports · 2024Article
- Case Report: Robotic Repair of a Perineal Hernia Following Abdominoperineal Resection.Journal of abdominal wall surgery : JAWS · 2024Article
- Perineal Hernia Mesh Repair Using Only the Perineal Approach: How We Do It.Journal of personalized medicine · 2023Article
- Laparoscopic repair of an anterior perineal hernia: a video presentation.Facts, views & vision in ObGyn · 2023Article
- Robotic repair of perineal hernias: a video vignette and review of the literature.Surgical endoscopy · 2023Review
- Transperineal Repair of Secondary Perineal Hernia Using a Mesh with a Memory-recoil Ring.Journal of the anus, rectum and colon · 2023Article
- Perineal hernia repair after extralevator abdominoperineal excision, how we do it (PERineal Laparoscopic Sling: PERLS Technique).Langenbeck's archives of surgery · 2022Article
- Perineal wound healing after abdominoperineal resection for rectal cancer: a retrospective cohort study.International journal of colorectal disease · 2022Article
- Management of Perineal Wounds Following Pelvic Surgery.Clinics in colon and rectal surgery · 2022Review
- Transanal total mesorectal excision port-assisted perineal hernia repair: A case report.Frontiers in oncology · 2022Article
- Article
- Extra-Levator AbdominoPerineal excision (eLAPE): a complicated postoperative perineal hernia.BMJ case reports · 2021Article
- Pelvic peritoneum closure reduces postoperative complications of laparoscopic abdominoperineal resection: 6-year experience in single center.Surgical endoscopy · 2021Article
- Closed loop obstruction and adhesive intestinal obstruction in perineal hernia.BMJ case reports · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of perineal hernia after abdominoperineal excision and extralevator abdominoperineal excision ranges from 1 to 26%. In this systematic review, we compared surgical options and postoperative outcomes of perineal hernia repair in this setting from 2012 to 2016 with findings in a review of publications 1944-2011.
methodsWe searched the PubMed database using the keywords "hernia" AND "perineum" identified 392 papers published from 1946 to 2016. Two hundred and ninety-six papers published before 2012 were excluded and 96 were found to be potentially relevant.
resultsTwenty-one studies with a total of 108 patients were included in the final analysis. Perineal hernia repair was performed using the perineal approach in 75 patients (69.44%), the laparoscopic approach in 25 patients (23.14%), the open abdominal approach in three patients (2.77%) and the laparoscopic perineal approach in three patients (2.77%) and the open abdominoperineal approach in two patients (1.8%). Non-absorbable mesh was used in 41 (37.96%) of cases, composite mesh in 20 (18.51%) and biological mesh in 19 (17.59%). Flap reconstruction was used in 25 patients (23.14%). First and second recurrences were observed in 26 (24.07%) and 7 (26.92%) cases, respectively.
conclusionsComparison of perineal hernia repair from 1944 to 2011 and from 2012 to 2016 showed that perineal and laparoscopic approaches are currently the most commonly used techniques. Primary defect closure was abandoned in favor of synthetic or composite mesh placement. Use of flap reconstruction spread rapidly and the recurrence rate was low. Randomized control trials and a larger sample size are needed to confirm these data and to develop a gold standard treatment for secondary hernia repair after abdominoperineal excision or extralevator abdominoperineal excision.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.