Laparoscopic Psoas Hernia Repair with Mesh

Anna Uebele, MD, Jonathan Pearl, MD, Natalia Kubicki, MD. University of Maryland Medical Center

We present an interesting case of a psoas hernia with descending colon herniated posterior to the left psoas muscle.  The patient presented with left abdominal and left flank pain.  The hernia was repaired laparoscopically with reduction of the hernia and fixation of a polyester composite mesh to cover the defect.  The mesh was fixed with absorbable tacks along the abdominal wall and a fibrin sealant over the psoas muscle.  Postoperatively the patient’s pain was resolved.

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