Table 2.

Perineal hernia repair using a biological mesh with subsequent outcome (n = 15)

Number	Status	Perineal hernia repair	Follow-up
6	Uncomplicated perineal healing, primary perineal hernia	Transperineal Strattice™	n = 2 no recurrent hernia 13/18 m
			n = 2 recurrent hernia 14/24 m, no further intervention
			n = 1 recurrent hernia 17 m, prolene mesh repair 22 m, recurrent hernia 33 m
			n = 1 recurrent hernia 9 m, prolene mesh repair 10 m, second recurrent hernia 14 m, prolene mesh repair 16 m, no recurrent hernia 25 m
2	Uncomplicated perineal healing, primary perineal hernia	Transperineal Permacol™	n = 1 no recurrent hernia, exenteration because of recurrent rectal cancer 24 m
			n = 1 laparoscopic prolene mesh fixation of biological mesh anteriorly 10 m, no recurrent hernia 46 m (radiological recurrence)
1	Omental prolapse with perineal necrosis	Transperineal Strattice™ 44 m	Recurrent hernia 28 m, prolene mesh repair 29 m, no recurrent hernia 39 m
1	Primary Permacol™ at time of APR, primary perineal hernia	Transperineal Strattice™ 17 m	Recurrent hernia 12 m, no further intervention
1	Surgical abscess drainage with secondary healing, perineal defect with uterine prolapse	Transperineal repair posterior vaginal wall + Strattice™ + bilateral VY gluteal flap 94 m	No recurrent hernia 21 m
1	Primary VAC therapy with secondary healing, omental prolapse with chronic wound	Transperineal Strattice™ + unilateral VY gluteal flap 8 m	No recurrent hernia 13 m, metastatic disease
1	Secondary VAC therapy, omental prolapse with chronic wound	Transperineal repair posterior vaginal wall + Strattice™ + unilateral SGAP flap 17 m	No recurrent hernia 13 m, metastatic disease
1	Hysterectomy + sacrocolpopexy for sexual dysfunction and feeling of pressure, recurrent symptoms	Transabdominal Permacol™ + revision omental plasty + bladder interposition 53 m	No recurrent hernia 36 m
1	Laparoscopic perineal hernia repair with Permacol™ 13 m, hysterectomy + culdoplasty 30 m, recurrent perineal hernia	Hand-assisted laparoscopic omental plasty + transperineal Strattice™ 51 m	No recurrent hernia 14 m

No. number of patients, VAC vacuum assisted wound closure, APR abdominoperineal resection, SGAP superior gluteal artery fasciocutaneous perforator flap, (x) m = time interval in months from primary APR or perineal hernia repair