Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2020; 8(18): 4228-4233
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4228
Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4228
Mine disaster survivor’s pelvic floor hernia treated with laparoscopic surgery and a perineal approach: A case report
Kai Chen, Yuan-Zhi Lan, Jing Li, Yuan-Yuan Xiang, Dong-Zhu Zeng, Department of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
Author contributions: Chen K wrote the paper; Lan YZ, Li J and Xiang YY collected the data and relevant images; Zeng DZ revised the paper.
Informed consent statement: Informed consent was obtained before any medical investigation or initiation of treatment as required.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dong-Zhu Zeng, MD, PhD, Chairman, Professor, Department of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, No. 1 Shuanghu Branch Road, Yubei District, Chongqing 401120, China. 650777@hospital.cqmu.edu.cn
Received: June 22, 2020
Peer-review started: June 22, 2020
First decision: July 24, 2020
Revised: July 28, 2020
Accepted: August 20, 2020
Article in press: August 20, 2020
Published online: September 26, 2020
Peer-review started: June 22, 2020
First decision: July 24, 2020
Revised: July 28, 2020
Accepted: August 20, 2020
Article in press: August 20, 2020
Published online: September 26, 2020
Core Tip
Core Tip: The combination of laparoscopic surgery with a perineal approach for complicated pelvic floor hernias could be a better way to improve the safety and effectiveness of surgery. The application of the biological mesh and flaps is safe and effective with a good long-term outcome. Hernioplasty of the pelvic floor hernia via an associated pathway is technically feasible, is associated with rapid recovery and minimal complications and has a good long-term outcome. The use of a biological mesh and flaps to repair the defect likely improves results, especially for patients with a larger pelvic floor hernia or the possibility of severe adhesion and potential infection.