International Urogynecology Journal

, Volume 30, Issue 11, pp 1981–1983 | Cite as

Perineal hernia repair using permanent suture and mesh: a video case presentation

  • Andrea M. AvondstondtEmail author
  • Dima Ezzedine
  • Charbel Salamon
IUJ Video



Perineal hernias are an uncommon cause of pelvic bulge symptoms in women with no established ideal surgical approach. We present the case of a posterior perineal hernia repaired robotically using permanent sutures and mesh.


A 67-year-old woman with a posterior perineal hernia and stage III uterovaginal prolapse presented to our office and underwent minimally invasive robotics-assisted abdominal surgery. Her levator plate defect was closed primarily using permanent sutures and reinforced using polypropylene mesh. A concomitant supracervical hysterectomy and sacrocolpopexy were performed.


Robotics-assisted transabdominal perineal hernia repair offered excellent intra-operative visualization and complete delineation of the defect.


Robotics-assisted abdominal primary repair of the perineal hernia and overlying mesh placement offered a safe and effective repair of this rare disorder.


Hernia Minimally invasive surgery Perineal hernia Polypropylene mesh Transabdominal 


Compliance with ethical standards

Conflicts of interest

Charbel Salamon, MD is a consultant for Boston Scientific, Intuitive Surgical, and Caldera. Andrea M. Avondstondt, MD and Dima Ezzedine, MD declare that they have no conflicts of interest.

Ethical concerns

Written informed consent was obtained from the patient for publication of this article, video, and any accompanying images. The Atlantic Health System institutional review board (IRB) deemed this manuscript exempt from IRB review.

Supplementary material

192_2019_3956_MOESM1_ESM.pdf (190 kb)
ESM 1 (PDF 189 kb)

(MP4 345,485 kb)


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Copyright information

© The International Urogynecological Association 2019

Authors and Affiliations

  1. 1.Department of Urogynecology and Reconstructive SurgeryAtlantic Health SystemMorristownUSA
  2. 2.Department of Obstetrics and GynecologyMaimonides Medical CenterBrooklynUSA

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