![]() ![]() A computed tomography (CT) scan showed a large midline ventral recurrent hernia containing loops of small and large bowel with focal increased protrusion inferior to the mesh without evidence of bowel obstruction. She reported that she started developing a recurrent painful bulge which has increased in size about 9 months after her last surgical hernia repair. We present a case of a 50 years-old female patient, with a body mass index of 34.8 kg/m 2, hypertension, diabetes mellitus, asthma, and incisional hernia after C-section (she had three incisional hernia repairs with recurrence and the last repair was 4 years ago), early-stage endometrial cancer, and history of laparoscopic sleeve gastrectomy 3 years ago. This is a descriptive, retrospective study of a patient who underwent ventral hernia repair with onlay mesh placement in an academic center. We aim to report a case and technique of a patient with a ventral hernia who underwent RACS in a large academic center. The robotic anterior component separation (RACS) technique applies the anatomical knowledge in onlay technique along with minimally invasive surgery to avoid important complications related to a wound incision. However, the use of this technique also can cause complications, such as infection, flap ischemia, hematomas, seromas, and wound infections. This technique maintains midline integrity, and the mesh is inserted in the preaponeurotic space. Also, the time spent in surgery does not last long. The use of this technique is simple and quite reproducible if you compare it with other techniques. Onlay open ventral hernia repair is still one of the most-used surgical techniques for the repair of hernias worldwide. The use of anterior component separation in surgeries of ventral hernias repair with onlay mesh placement is an excellent way when we need to switch sublay mesh after posterior component separation in low-risk patients. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |