Table 3.

Pooled analysis evidence.

Reference	n	Study period	M:F	Age	Treatment of primary disease	Approach to perineal hernia repair	Mesh type	Follow-up	Outcome	Complications
Mjoli et al. (21)	43	1944–2010	23:20	63 years mean (10 SD, range 45–89)	RT 18 Open APE24 (55.8%) Open APE + coccyx 4 (9.3%)	Perineal 22 Open abdominal in 11 Open abdominoperineal 3	Perineal Non-absorbable 3 Composite 1	NR	Primary recurrence 13 Second recurrence 3	Perineal wound breakdown 12%
					Laparoscopic APE 9 (20.9%) Laparoscopic APE + posterior vaginal wall 3 (7.0%)	Laparoscopic 5 Laparoscopic-perineal 2	Biological 4 Non-specific 1		Recurrence rate: 5/25 synthetic or biological mesh
					Staged Lahey procedure 1 (2.3%) Staged Lahey procedure + coccyx 1 (2.3%) Open APE + perineal colostomy 1 (2.3%)		Open abdominal Absorbable mesh 1 Non-absorbable 3 Biologic 3		6/12 primary closure; 2/6 remaining techniques Recurrences repaired: synthetic or biologic mesh 6
							Open Abd-Perineal Non-absorbable 3		Primary closure 5 Gluteal/Gracilis flap 4
							Laparoscopic Composite 5
							Laparoscopic-perineal Non-absorbable 1 Composite 1