Article Text

Download PDFPDF
Sciatic hernia: repair after recurrence
  1. Stijn Van Hoef,
  2. Willem A R Zwaans and
  3. Arijan Luijten
  1. General Surgery, Maxima Medical Center, Veldhoven, The Netherlands
  1. Correspondence to Dr Stijn Van Hoef; stijnvanhoef{at}gmail.com

Abstract

Sciatic hernia is a rare pelvic floor hernia. A variety of treatment modalities were proposed, but a guideline is lacking although a mesh-based tension-free repair may be preferred. A 67-year-old woman with an uncomplicated sciatic hernia received primarily closing of the hernia orifice that was covered with a preperitoneal mesh in March 2019. Six months later, she developed a clinical and radiographical recurrence requiring remedial surgery. Due to the previous mesh fixation, the preperitoneal plane was obliterated. Therefore, the pouch of Douglas was closed, leaving the hernia sac in place, by folding two opposing peritoneal layers and covering it with a Ventralight ST mesh. After 9 months, the hernia had not recurred and the patient was symptom-free. It is concluded that recurrent sciatic hernia may be treated by obliterating the Douglas pouch and subsequent mesh coverage.

  • general surgery
  • gastrointestinal surgery

Statistics from Altmetric.com

Footnotes

  • Contributors SVH identified the case, wrote the case report, obtained informed consent and is the principal author of this case report. WARZ contributed to the eventual layout and proofreading. AL was the supervising staff member and proofread the report.

  • 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.

  • 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.