A Case of Pelvic Floor Peritoneal Hernia after Miles’ Surgery
- 1 Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China
- 2 Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China
- 3 Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China
- 4 Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China
- 5 Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China
- 6 Department of Endocrine Metabolism, Suining Central Hospital, Suining, China
Abstract
Objective : To investigate the causes and preventive measures of pelvic floor peritoneal hernia after transabdominal perineal radical resection of rectal cancer . Patients and Methods : A 68-year-old patient with progressive exacerbation of Miles’ postoperative intestinal obstruction was retrospectively analyzed. Conservative treatment was ineffective, and surgery was performed again. Surgery confirmed that the obstruction was caused by a pelvic floor peritoneal hernia . The original reconstruction peritoneal suture needle spacing was too wide, resulting in peritoneal hiatus . Results : The early postoperative intestinal obstruction in this patient was not caused by inflammatory intestinal obstruction, stenosis of stoma , and intestinal adhesion, but by the formation of pelvic floor peritoneal hernia. Conclusion : Pelvic floor peritoneal hernia should not be ignored in the early stage of intestinal obstruction after Miles ’ operatio n . Improper suture during pelvic floor peritoneal reconstruction is the main cause of pelvic floor peritoneal hernia.
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