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.
Department of Surgery and Minimally Invasive Learning Center, St. Peter's University Hospital, New Brunswick, New Jersey, USA. mneffyhs@aol.com
Marc
M
Neff
Brian
B
Cantor
W Peter
WP
Geis
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