Journal of the European Society for Gynaecological Endoscopy


Laparoscopic repair of an anterior perineal hernia: a video presentation

I. Furuie1, A. Quevedo2, P. Tovar1, F. Santos1, M. Zomer1, G. Castro3, W. Kondo1

1 Department of Gynecology and Minimally Invasive Unit, Vita Batel Hospital, Curitiba, 80420-160, Brazil;
2 Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, 32610, United States
3 Department of General Surgery, Sugisawa Medical Centre, Curitiba, 80250-190, Brazil


Perineal hernia, vulvar hernia, labial hernia, laparoscopic repair, laparoscopy

Published online: Jun 30 2023


Background: The perineal hernia is a condition that occurs as a result of a defect in the pelvic diaphragm. It is classified as anterior or posterior, and as either a primary or secondary hernia. The best management of this condition remains controversial.

Objectives: To demonstrate the surgical steps of a laparoscopic repair with mesh of a perineal hernia.

Materials and Methods: A video presentation showing the laparoscopic repair of a recurrent perineal hernia

Main outcomes measures: A 46-year-old woman with a prior history of a primary perineal hernia repair had complaints of a symptomatic vulvar bulge. Pelvic magnetic resonance imaging showed a 5 cm hernia sac at the right anterior pelvic wall containing adipose tissue. A laparoscopic perineal hernia repair was performed by dissection of the space of Retzius, reduction of the hernial sac, closure of the defect and mesh fixation.

Results: The laparoscopic repair with mesh of a recurrent perineal hernia is demonstrated.

Conclusion: We showed that the laparoscopic approach can be an effective and reproducible treatment for perineal hernia.

Learning objective: Understanding of the surgical steps involved in the laparoscopic repair with mesh of a recurrent perineal hernia.

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