Published online Jan 26, 2020. doi: 10.12998/wjcc.v8.i2.362
Peer-review started: November 9, 2019
First decision: November 19, 2019
Revised: November 30, 2019
Accepted: December 14, 2019
Article in press: December 14, 2019
Published online: January 26, 2020
Core tip: A 54-year-old woman was diagnosed with a sacrococcygeal hernia. The patient received hernia repair with a mesh through a combined laparoscopic and sacrococcygeal approach. On laparoscopy, the rectum was dissected posterolaterally to return the hernia content and to expose the defect in the right anterior sacrococcygeal region. This was followed by the placement of a self-gripping polyester mesh via a sacrococcygeal approach. There were no postoperative complications, and the patient was followed for more than 6 mo with no recurrence. Our experience demonstrates that laparoscopic mesh repair can serve as a priority of surgical options for sacrococcygeal hernias, while choosing a self-gripping mesh can help avoid the risk of presacral vessel injury by reducing suture fixation.