PERINEAL HERNIA REPAIR WITH MESH VIA ROBOTIC SURGERY

This free video aims to demonstrate the correction of a perineal hernia using a dual-sided Proceed surgical mesh (Ethicon) via robotic surgery. This procedure was performed during the Robotic Colorectal Surgery Certification Program at the Hospital do Amor (Barretos/SP). The patient is a 53-year-old female with a history of a late surgical procedure, an abdominoperineal resection of the rectum via robotic surgery due to rectal cancer. The perineal hernia repair surgery was performed through an abdominal approach using the Da Vinci X robotic platform and also through the perineal approach to reduce the herniated content. A Proceed Ethicon mesh was used to fill the pelvis. During the release of the bowel loops, there was an inadvertent injury to an ileal loop, which was managed with simple sutures. In the postoperative period, the patient developed adynamic ileus, which resolved with clinical treatment, and she was discharged on the fifth day post-surgery. The robotic technique for perineal hernia repair is feasible and safe, even when performed in a training setting, as was the case in our study.

No conflict of interest has been declared by the author(s).

Publication History

Article published online:
25 April 2025