Perineal hernia repair with synthetic mesh and bivectorial gluteus maximus myocutaneous island flap.

ABSTRACT: Perineal hernia is a rare but significant complication of pelvic surgery. This report describes a unique reconstructive approach for a complex perineal hernia, combining mesh reinforcement, a modified gluteus maximus myocutaneous flap, and bone anchors - an approach not previously described. We present the case of an 88-year-old male who developed a perineal hernia with small bowel protrusion 14 years after abdominoperineal resection. Surgical repair utilized a combined synthetic mesh and a bivectorial gluteus maximus island rotation-advancement flap. This flap provided dead space obliteration, pelvic floor reinforcement via a sling-like configuration, and improved skin coverage. Bone anchors secured both the mesh and flap, ensuring stable fixation in an anatomically compromised area. The

SUBMITTER: Carreira I 

PROVIDER: S-EPMC12657596 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature