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You are here: Home / Abstracts / Laparoscopic preperitoneal hernia repair for treatment ventral hernia (the rectus abdominal diastasis, flank hernia and recurrent incision hernia). Case report.

Laparoscopic preperitoneal hernia repair for treatment ventral hernia (the rectus abdominal diastasis, flank hernia and recurrent incision hernia). Case report.

Kin San Leong. Taiwan Far Eastern Hospital

Background: Rectus abdominal diastasis, flank hernia and recurrent incision hernia are kinds of ventral hernia.. The totally extraperitoneal hernia repair for inguinal hernia had already performed for many years. It had benefits at post operation hospitalization, wound pain, cosmetics. We believe that we can use the same approach for treatment the ventral hernia. We want to share our early experiences with this approach. We also evaluate the feasibility and post operation results.

Methods: We performed the preperitoneal hernia repair with mesh for treatment ventral hernia since 2011, had already performed 37 cases. In this case of rectus abdominal diastasis patients and right flank hernia patient and left lower abdomen recurrent incision hernia status post mesh hernia repair with right lower abdomen incision hernia were performed at 2017. The demographic information and defect size were measured.

Results: This rectus abdominal diastasis female was 41years old. The rectal muscle distance about 7cm. The operation time was about 4 hours. The right flank incision hernia male was 69 years old. The fascia defect was about 10x8cm. The operation time was about 2hours. The left lower abdomen recurrent incision hernia status post mesh hernia repair with right lower abdomen incision hernia  female was 60 years old. The left lower abdomen fascia defect about 7x5cm and right lower abdomen fascia defect about 2x2cm. The operation time was about 4.5hours. The 3 cases blood lose were about 5ml. The wound pain was VAS:4~5. They discharged from our hospital within the 24hours postoperative period . The seroma was noted at right flank incision hernia patient.

Conclusions: We shared our early experience with preperitoneal hernia repair with mesh. They showed benefits at post operation hospitalization, wound pain and cosmetic to compare with open approach.


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

Abstract ID: 85179

Program Number: P004

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

43

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