Transabdominal preperitoneal repair of a port-site incisional hernia.
A 47-year-old woman presented with an incisional hernia at the site of a 10-mm port placed in the left iliac fossa during laparoscopic oopherectomy performed 6 years previously. The hernia was repaired laparoscopically by a transabdominal preperitoneal approach using one 10-mm and two 5-mm ports. Adherent omentum was reduced from the sac and a wide flap of peritoneum extending 5 cm on all sides of the fascial defect was raised. The peritoneum was circumcised around the neck of the sac, leaving the sac undisturbed. A 12 x 12 cm polypropylene mesh was placed in the preperitoneal plane and secured in place with endoscopic spiral tackers. The peritoneal incision was approximated with a running 2-0 polyglactin suture. The patient had an uneventful recovery and was discharged after 48 hours. She resumed normal activity within 5 days and remains well one year later. A transabdominal preperitoneal repair seems a feasible alternative for repair of port-site incisional hernias that usually occur through a single and small fascial defect.
Bhandarkar
Deepraj S
DS
Department of Minimal Access Surgery, P.D. Hinduja National Hospital & Medical Research Centre, Mumbai, India. deeprajbhandarkar@hotmail.com
Katara
Avinash N
AN
Shah
Rasik S
RS
Udwadia
Tehemton E
TE
D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010052:Ovariectomy; D010537:Peritoneum; D011126:Polypropylenes; D011183:Postoperative Complications; D013526:Surgical Mesh
D011126:Polypropylenes