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Case Reports
. 2005 Apr-Jun;9(2):241-4.

Laparoscopic-assisted primary repair of a complicated ventral incisional hernia

Affiliations
Case Reports

Laparoscopic-assisted primary repair of a complicated ventral incisional hernia

Marc Neff et al. JSLS. 2005 Apr-Jun.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Cosmetic appearance at 4-month follow-up after initial laparoscopic repair with exposed mesh present at mid-point of incision.
Figure 2.
Figure 2.
Initial postoperative appearance after second operation: laparoscopic-assisted repair.
Figure 3.
Figure 3.
Postoperative appearance 3 months after laparoscopic-assisted repair.

References

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