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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}


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

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  • 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.

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