Article Text

Download PDFPDF
Extra-Levator AbdominoPerineal excision (eLAPE): a complicated postoperative perineal hernia
  1. Holly Harris,
  2. Kausik Ray and
  3. Christie Swaminathan
  1. Brighton General Surgical Department, Brighton & Sussex University Hospitals NHS Trust, Brighton, UK
  1. Correspondence to Dr Holly Harris; holly.harris3{at}nhs.net

Abstract

A 75-year-old woman presented with perineal wound dehiscence and small bowel prolapse of a perineal hernia, 6 years after extra-Levator AbdominoPerineal Excision (eLAPE) procedure for rectal cancer. She underwent emergency wound refashioning and perineal hernia repair with Parmacol mesh. Her postoperative recovery was complicated by long-standing ileus, wound infection, and she was discharged to community palliative care services. In this case report, we raise awareness of postoperative eLAPE complications and describe an unfortunate case where a postoperative perineal hernia was not repaired in a patient with multiple comorbidities.

  • general surgery
  • surgical oncology
  • cancer intervention

Statistics from Altmetric.com

Footnotes

  • Contributors HH was the main author. KR and CS acted as editors to the publication and supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.