2020, Number 4
Laparoscopic subcutaneous approach repair for postincisional hernia; case report
Pérez PY, Santana PCA, Muciño PLÁ
Full text
10.35366/101221
Language: Spanish
References: 4
Page: 210-212
PDF size: 160.10 Kb.
ABSTRACT
Introduction: Incisional hernia is a complication of abdominal surgery, defined as any gap in the abdominal wall with or without a protrusion in the area of a perceptible or palpable postoperative scar by clinical examination or image study. Case presentation: A case of a 34-year-old female patient is presented, who is studied for presenting a subxiphoid incisional hernia, after laparoscopic cholecystectomy, finding a hernia defect in the subxiphoid region M3 according to the European classification of omentum-containing hernias, without vascular compromise and M3 umbilical hernia with omentum outlet, without a intestinal loop, demonstrated by abdominal ultrasound. It was decided to undergo a wall plasty using a minimally invasive laparoscopic approach, finding a 2 cm epigastric supraponeurotic defect and a 3 cm umbilical defect. Primary closure was performed with Smead Jones sutures and plasty with subcutaneous laparoscopic supraponeurotic technique (SCOLA) with polipropilen mesh placement. Results: Follow up was uneventful without trans or post-operative complications and discharge 24 hours after the event. Conclusions: This laparoscopic approach is a reproducible and feasible option with low morbidity, for midline defects with a low complication rate and an adequate aesthetic result.REFERENCES