Postoperative Perineal Hernia

Perineal hernia is an uncommon complication following major pelvic surgery. The estimated incidence of herniation is 0.2%-3.5% following abdominoperineal resection. Symptomatic patients may undergo repair by a transabdominal, transperineal, combined abdominoperineal, or laparoscopic approach. Controversy continues with regard to the method of repair with many surgeons employing the use of mesh or local muscular flaps to buttress the pelvic floor. Recurrence rates are moderate but are also limited by small number of cases reported in the literature.