title: Richter's hernia after an intraperitoneal mesh repair.
abstract: For ventral hernia repair, laparoscopic surgery offers various advantages, including the application of a large mesh using the intraperitoneal approach. However, improper closure of the port site may lead to serious complications. Port-site hernia is a rare outcome of inadequate repair of the fascial or peritoneal layer, and Richter's hernia in a high risk patient, in the presence of an intraperitoneal mesh, is a particularly challenging scenario. Herein, we present a 58-year-old woman who, after a ventral hernia repair, was diagnosed with a small bowel hernia through a 10-mm port site. The patient complained of pain and mild swelling at the port site in the postoperative period, and her symptoms indicated intestinal obstruction. Clinical evaluation and abdominal X-ray confirmed the diagnosis, and early laparoscopic re-exploration and management were the key to a favorable outcome.
authors.affiliation: Department of Surgical Gastroenterology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
authors.forename: Anshuman
authors.initials: A
authors.lastname: Pandey
authors.forename: Shakeel
authors.initials: S
authors.lastname: Masood
authors.forename: Vijay Kumar
authors.initials: VK
authors.lastname: Goel
authors.forename: Amit Kumar
authors.initials: AK
authors.lastname: Gupta
mesh_terms: D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery; D012086:Reoperation; D013526:Surgical Mesh
keywords: Laparoscopic intraperitoneal repair; Richter's hernia; ventral hernia