TITLE:
A Case of Pelvic Floor Peritoneal Hernia after Miles’ Surgery
AUTHORS:
Zhengwen Xu, Fugen Li, Meng Sun, Chuan Qian, Wenjun Luo, Xiaorong Zhu
KEYWORDS:
Miles’ Operation Pelvic Floor Peritoneal Hernia Intestinal Obstruction
JOURNAL NAME:
Surgical Science,
Vol.13 No.4,
April
28,
2022
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’ operation. Improper suture during pelvic floor peritoneal reconstruction is the
main cause of pelvic floor peritoneal hernia.