Tension free perineal hernioplasty: report of a case

Summary Perineal hernias are extremely rare in clinical practice, most being secondary to radical pelvic surgery. Different surgical approaches have been described, with primary closure as well as with the use of flaps and mesh. We report the case of a 35 year old female with a primary anterior perineal hernia, that was repaired using a cone of polypropylene mesh through a perineal approach under regional anaesthesia. Two years later she remains asymptomatic without recurrence. We believe this is the first report of such repair for a primary perineal hernia.