SynthesisColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2022
Mesh, flap or combined repair of perineal hernia after abdominoperineal resection - A systematic review and meta-analysis.
Synthesis in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Perineal wound complications after vertical rectus abdominis myocutaneous flap and mesh closure following abdominoperineal surgery and pelvic exenteration of anal and rectal cancers: A meta-analysis.International wound journal · 2023Pooled 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
- Oblique Rectus Abdominis Myocutaneous Versus Anterolateral Thigh-Vastus Lateralis Flap for Perineal Reconstruction: A Retrospective Comparative Study.Plastic and reconstructive surgery. Global open · 2026Article
- Perineal hernia following extra-levator abdominoperineal resection: prevalence, associated risk factors and types of perineal closure. a single-centre descriptive study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Two Cases of Secondary Anterior Perineal Hernia Repaired with a Pedicled Gracilis Muscle Flap.Surgical case reports · 2026Article
- A Rare Case of Severe Pelvic Organ Prolapse with Massive Perineal Hernia in a Nulliparous Woman: A Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2025Article
- Perineal hernia repair: Multicentre comparative analysis of mesh-only versus mesh combined with tissue flap.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Anterior perineal hernia - A case report of a rare complication after pelvic exenteration.International journal of surgery case reports · 2024Article
- Introducing an innovative surgical technique: gluteal turnover flap for posterior vaginal wall reconstruction: a case series.Techniques in coloproctology · 2024Article
- Uterine retroversion and gluteal transposition flap for postoperative perineal evisceration after extralevator abdominoperineal resection.Updates in surgery · 2024Article
- Perineal hernia as a sequela of anal reconstruction surgeries in perianal Crohn's disease.Radiology case reports · 2023Article
- Transperineal Repair of Secondary Perineal Hernia Using a Mesh with a Memory-recoil Ring.Journal of the anus, rectum and colon · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this systematic review was to analyse recurrence rates after different surgical techniques for perineal hernia repair.
methodAll original studies (n ≥ 2 patients) reporting recurrence rates after perineal hernia repair after abdominoperineal resection (APR) were included. The electronic database PubMed was last searched in December 2021. The primary outcome was recurrent perineal hernia. A weighted average of the logit proportions was determined by the use of the generic inverse variance method and random effects model.
resultsA total of 19 studies involving 172 patients were included. The mean age of patients was 64 ± 5.6 years and the indication for APR was predominantly cancer (99%, 170/172). The pooled percentage of recurrent perineal hernia was 39% (95% CI: 27%-52%) after biological mesh closure, 29% (95% CI: 21%-39%) after synthetic mesh closure, 37% (95% CI: 14%-67%) after tissue flap reconstruction only and 9% (95% CI: 1%-45%) after tissue flap reconstruction combined with mesh.
conclusionRecurrence rates after mesh repair of perineal hernia are high, without a clear difference between biological and synthetic meshes. The addition of a tissue flap to mesh repair seemed to have a favourable outcome, which warrants further investigation.
Indexed as
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What OpenQuestion holds
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.