PMC2929607_01
Preoperative picture showing the perineal hernia defect.
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fig1
At six-month clinical followup, he complained of a reducible, painless incisional perineal hernia extending into the scrotum (Figure 1).
Intra-abdominal view of bowel loops mobilised from perineal wall defect.
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fig2
Placement of the patient in a steep trendelenburg position facilitated division of adhesions with mobilisation of the small bowel loops out of the hernial defect (Figure 2).
Five months postoperative perineal hernia repair with no evidence of recurrence.
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fig3
Following repair, the patient remained asymptomatic with no evidence of recurrence of the perineal hernia (Figure 3, five months post repair) at 18-month followup.