laparoscopic repair of perineal hernia using a double-mesh technique

Introduction: perineal herniation following pelvic surgery, including abdomino-perineal resection (apr) and pelvic exenteration is a rare condition but can present with serious complications. multiple methods of repair are possible including either an abdominal or perineal approach. laparoscopic abdominal repairs have been described. case presentation: an 83 year-old lady, under follow-up following a laparoscopic apr two years previously for a t2n0m0 low rectal cancer, presented with a symptomatic perineal hernia which caused significant impairment in her daily living activities. she had no major comorbidities and was keen for intervention. she was electively admitted for a laparoscopic repair of perineal hernia. this was performed using a double-mesh technique, which allows strengthening of the repair as a feasible alternative to consider in repair of this difficult complication. conclusions: this technique is feasible as an alternative to standard laparoscopic or perineal repair of perineal herniation. further studies are required to demonstrate its long-term efficacy.