LAUSR

Perineal hernia is considered to be a rare complication after abdominoperineal resection (APR). However, its true incidence may be higher because of under-reporting. Moreover, there has been a recent change in technique from conventional to extralevator APR (eAPR) for oncological reasons. As the eAPR procedure creates a much wider perineal defect, a significant increase in incidence can be expected in the future. Recent reports show an incidence of 26% after eAPR [1]. Currently, there is no gold standard technique for perineal hernia repair, although various methods have been described. In this paper, we present our strategy of a robotic-assisted repair using a synthetic mesh and we perform a narrative review of the literature.