Laparoscopic-assisted primary repair of a complicated ventral incisional hernia.
Postoperative wound dehiscence is a difficult problem for the general surgeon. Often, patients are too sick, or the wound environment is too hostile, to undergo primary repair. When an eventual repair is performed, a variety of methods are available, but most are associated with unacceptably high morbidity rates, specifically high incidences of recurrences and poor cosmetic outcome. We present here a case of postoperative wound dehiscence following a colostomy takedown repaired in a previously undescribed way--a laparoscopically assisted ventral incisional hernia repair. The method of repair is described, and the current literature regarding alternatives is reviewed.
Neff
Marc
M
Department of Surgery and Minimally Invasive Learning Center, St. Peter's University Hospital, New Brunswick, New Jersey, USA. mneffyhs@aol.com
Cantor
Brian
B
Geis
W Peter
WP
D003082:Colectomy; D003108:Colonic Diseases; D003125:Colostomy; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D015658:HIV Infections / Q000150:complications*; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013529:Surgical Wound Dehiscence / Q000209:etiology