The incidence of perineal hernia (PH) is less than 1% among patients submitted to abdominoperineal resection. Our objective is to describe a case of PH after this procedure due to distal rectal adenocarcinoma. We report a case of a 56-year-old woman who presented with early PH. The treatment consisted of reduction of the hernia content and interposition of a methylcellulosis-encapsulated mesh. Due to rarity and multi-etiology of this entity, there is no consensus about its best treatment, as many techniques have been described. We concluded that using a synthetic prosthesis is a satisfactory option to correct perineal hernias with good outcomes.
Hernia; Perineum; Surgical mesh; Postoperative complications