Prolonged abdominal wall pain caused by transfascial sutures used in the laparoscopic repair of incisional hernia.
The use of transfascial sutures in the laparoscopic repair of incisional hernia has considerably facilitated the accurate intraperitoneal placement and fixation of the synthetic mesh. The laparoscopic procedure has a number of advantages, including less morbidity and pain. Moreover, the use of a mesh prosthesis results in a low rate of hernia recurrence. Despite the benefits associated with this technique, several (minor) complications have been documented. Herein we describe a case of prolonged abdominal wall pain after laparoscopic hernia mesh repair that was caused by the use of transfascial sutures.
Vermeulen
J
J
Department of Surgery, Reinier de Graaf Groep, P.O. Box 5012, Delft, The Netherlands. jefreyvermeulen@hotmail.com
Alwayn
I
I
Stassen
L P S
LP
D015746:Abdominal Pain / Q000209:etiology*; D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D002429:Cecal Diseases / Q000601:surgery; D003111:Colonic Polyps / Q000601:surgery; D005205:Fascia / Q000098:blood supply*; D059685:Herniorrhaphy; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D007511:Ischemia / Q000209:etiology*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010149:Postoperative Pain / Q000209:etiology*; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D013530:Surgical Wound Infection / Q000150:complications; D013537:Sutures / Q000009:adverse effects*