Incisional pubic hernia: treatment of a case with congenital malformation of the pelvis.
Parapubic hernia is a rare entity, the aetiology of which is usually associated with pelvic surgery, traumatisms and bone malformations. Treatment is difficult because the defect is usually limited by altered fibrotic anatomical planes. We present a case of incisional pubic hernia in a patient with congenital bladder exstrophy and multiple surgeries for pelvic reconstruction, who was treated using a plasty combined with a double intra-abdominal/supra-aponeurotic mesh. The therapeutic possibilities are described for the laparoscopic and open approaches in the management of these complex hernias.
Moreno-Egea
A
A
Abdominal Wall Unit, General Surgery & Radiology Service, J.M. Morales Meseguer Hospital, 30008 Murcia, Spain. moreno-egea@ono.com
Campillo-Soto
A
A
la Calle
M Corral
MC
Torralba-Martínez
J A
JA
Girela
E
E
Albasini
J L
JL
D000328:Adult; D001746:Bladder Exstrophy / Q000453:epidemiology* / Q000601:surgery; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D007085:Ilium / Q000601:surgery; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D013519:Urogenital Surgical Procedures; D014621:Vagina / Q000601:surgery