• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / A unique case of ventral incisional hernia following mesh disruption during laparoscopic cholecystectomy

A unique case of ventral incisional hernia following mesh disruption during laparoscopic cholecystectomy

Andrew M O’neill, MD1, Katherine H Yancey, MD2. 1MAHEC, 2Mission Health

Introduction: Ventral incisional hernias (VIH) are one of the most common morbidities following abdominal surgery. Although many remain asymptomatic, others can lead to severe complications. Literature review reveals rates of incisional hernia are 13-20% and recurrence following mesh repair is up to 13%.  We discuss a rare finding of recurrent VIH following mesh disruption presumably caused during laparoscopic surgery. We feel this particular type of hernia is rare and little publication on the topic is available.

Case Information: We present a 56-year-old nonsmoking, nondiabetic female who was evaluated in the office for recurrent VIH. Patient had a complicated surgical history consisting of multiple abdominal operations including a Hartmann’s procedure, closure of colostomy, incisional hernia repair with GORE TEX Dual mesh, and most recently a laparoscopic cholecystectomy (LC). Patient reported a multi-month history of periumbilical abdominal pain related to hernia sites.

Physical exam showed an obese female (BMII 32), a mildly tender upper abdomen with two fascial defects in the upper and lower midline with reducible contents. CT scan showed a recurrent incisional hernia through a defect in the upper midline hernia mesh containing a portion of the colon without evidence of obstruction. Previous records obtained from her LC identified a supra-umbilical trocar insertion with no comment in regards to visualization or puncture through pre-existing mesh.

Patient was taken for elective open repair. Intra-operative findings were a 3×1 cm hernia defect in the superior aspect of the Dual mesh containing a portion of incarcerated transverse colon. A second hernia defect approximately 4×4 cm in the lower midline below the mesh edge was also noted. After careful dissection and exposure of the fascial defects, the hernia mesh was divided and abdominal contents reduced. Abdomen was closed via a bilateral posterior rectus fascia release with placement of permanent polyester self-gripping mesh in the retrorectus space. Patient tolerated the procedure well and was discharged on postoperative day 2. She was readmitted POD3 with ileus; however, she has not had any further complications with > 6 mos follow up.

Conclusion: Incisional hernia due to laparoscopic mesh disruption remains an uncommon, but potentially dangerous complication of laparoscopic surgery after previous mesh hernia repair. Surgeons should take care to close any disruptions in mesh created by laparoscopic trocar insertions and be sensitive to recurrences in these areas. Also, diligence should be taken to document any disruptions in mesh during subsequent operations as unintended complications may occur.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94965

Program Number: P551

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

177

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals