Endoscopic preaponeurotic access for complex ventral hernia repair with sublay mesh and bilateral anterior component separation: A case report

Annals of Medicine and Surgery
Salvatore CuccomarinoAlberto Jannaci

Abstract

Minimally invasive techniques are now routine in complex abdominal wall defects repair. Although laparoscopy allows to reduce post-operative pain, promoting a more rapid recovery and shortening hospital stay, it is associated with risk of bowel injury and adhesions development, when intraperitoneal mesh is placed. We report the case of a patient affected by large recurrent incisional hernia, treated with a new hybrid endoscopic approach. Patient treated with the novel approach is a 53-year-old male, BMI 27, smoker, with epigastric recurrence of incisional hernia and prosthetic fistula. An endoscopic preaponeurotic subcutaneous access was used. Repair with sublay mesh, bilateral anterior component separation and muscular reinsertions was conducted. Three months after surgery, no signs of recurrence were observed and complete functional recovery had been achieved. The new technique adopted benefits from all the advantages of minimally invasive surgery, allowing to avoid risks associated with laparoscopic access. Bilateral anterior component separation with muscular reinsertions is the key for tension-free suture. To our knowledge, this is the first time that a complex recurrent incisional hernia is repaired with the hybrid techni...Continue Reading

References

Feb 23, 2005·Archives of Surgery·Lars Tue SørensenLars Nannestad Jørgensen
Jan 23, 2008·Cirugía española·Juan M Bellón, Hipólito J Durán
Oct 2, 2015·World Journal of Surgery·Julie L HolihanMike K Liang
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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