Sacrococcygeal hernia: a challenge for the coloproctologist
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000400010 |
Resumo: | Sacrococcygeal hernia consists of the protrusion of abdominal and pelvic structures through the sacrococcygeal region, an uncommom complication of coccygectomy and sacral coccygectomy. Its surgical treatment is based on perineal hernia repair, by means of abdominal, perineal or abdominoperineal access. Perineal (local or sacrococcygeal) access avoids the laparotomy morbidity and is indicated to patients that are not exposed to radiation or those who had not undergone oncological surgery, allowing local tissue to reconstruct, as in myocutaneous advancement flaps, associated or not to prosthetic mesh, because of the low complication rates and favourable outcomes. The aim of this article is to report the case of a female patient who had undergone sacral coccygectomy due to refractory coccygodynia and developed a symptomatic sacrococcygeal hernia. She underwent polytetrafluoroethylene mesh herniorrhaphy followed by soft tissue closure and gluteal myocutaneous V-Y advancement flap. The authors emphasize technical details and the difficulty of the procedure itself. After three years of follow-up, no recurrence was found. |
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Sacrococcygeal hernia: a challenge for the coloproctologistsacrococcygeal regionpolytetrafluoroethylenerectumprostheses and implantsSacrococcygeal hernia consists of the protrusion of abdominal and pelvic structures through the sacrococcygeal region, an uncommom complication of coccygectomy and sacral coccygectomy. Its surgical treatment is based on perineal hernia repair, by means of abdominal, perineal or abdominoperineal access. Perineal (local or sacrococcygeal) access avoids the laparotomy morbidity and is indicated to patients that are not exposed to radiation or those who had not undergone oncological surgery, allowing local tissue to reconstruct, as in myocutaneous advancement flaps, associated or not to prosthetic mesh, because of the low complication rates and favourable outcomes. The aim of this article is to report the case of a female patient who had undergone sacral coccygectomy due to refractory coccygodynia and developed a symptomatic sacrococcygeal hernia. She underwent polytetrafluoroethylene mesh herniorrhaphy followed by soft tissue closure and gluteal myocutaneous V-Y advancement flap. The authors emphasize technical details and the difficulty of the procedure itself. After three years of follow-up, no recurrence was found.Sociedade Brasileira de Coloproctologia2012-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000400010Journal of Coloproctology (Rio de Janeiro) v.32 n.4 2012reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1590/S2237-93632012000400010info:eu-repo/semantics/openAccessMiranda,Eron FábioFroehner Junior,IlarioSteckert,Juliana StradiottoFreitas,Cristiano DenoniMartins,Juliana FerreiraKotze,Paulo Gustavoeng2013-07-02T00:00:00Zoai:scielo:S2237-93632012000400010Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2013-07-02T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Sacrococcygeal hernia: a challenge for the coloproctologist |
title |
Sacrococcygeal hernia: a challenge for the coloproctologist |
spellingShingle |
Sacrococcygeal hernia: a challenge for the coloproctologist Miranda,Eron Fábio sacrococcygeal region polytetrafluoroethylene rectum prostheses and implants |
title_short |
Sacrococcygeal hernia: a challenge for the coloproctologist |
title_full |
Sacrococcygeal hernia: a challenge for the coloproctologist |
title_fullStr |
Sacrococcygeal hernia: a challenge for the coloproctologist |
title_full_unstemmed |
Sacrococcygeal hernia: a challenge for the coloproctologist |
title_sort |
Sacrococcygeal hernia: a challenge for the coloproctologist |
author |
Miranda,Eron Fábio |
author_facet |
Miranda,Eron Fábio Froehner Junior,Ilario Steckert,Juliana Stradiotto Freitas,Cristiano Denoni Martins,Juliana Ferreira Kotze,Paulo Gustavo |
author_role |
author |
author2 |
Froehner Junior,Ilario Steckert,Juliana Stradiotto Freitas,Cristiano Denoni Martins,Juliana Ferreira Kotze,Paulo Gustavo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Miranda,Eron Fábio Froehner Junior,Ilario Steckert,Juliana Stradiotto Freitas,Cristiano Denoni Martins,Juliana Ferreira Kotze,Paulo Gustavo |
dc.subject.por.fl_str_mv |
sacrococcygeal region polytetrafluoroethylene rectum prostheses and implants |
topic |
sacrococcygeal region polytetrafluoroethylene rectum prostheses and implants |
description |
Sacrococcygeal hernia consists of the protrusion of abdominal and pelvic structures through the sacrococcygeal region, an uncommom complication of coccygectomy and sacral coccygectomy. Its surgical treatment is based on perineal hernia repair, by means of abdominal, perineal or abdominoperineal access. Perineal (local or sacrococcygeal) access avoids the laparotomy morbidity and is indicated to patients that are not exposed to radiation or those who had not undergone oncological surgery, allowing local tissue to reconstruct, as in myocutaneous advancement flaps, associated or not to prosthetic mesh, because of the low complication rates and favourable outcomes. The aim of this article is to report the case of a female patient who had undergone sacral coccygectomy due to refractory coccygodynia and developed a symptomatic sacrococcygeal hernia. She underwent polytetrafluoroethylene mesh herniorrhaphy followed by soft tissue closure and gluteal myocutaneous V-Y advancement flap. The authors emphasize technical details and the difficulty of the procedure itself. After three years of follow-up, no recurrence was found. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000400010 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000400010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S2237-93632012000400010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.32 n.4 2012 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
_version_ |
1752126477089898496 |