The introduction of laparoscopy in incisional hernia repair is giving rise to a new class of complications, specific of new techniques and materials. A case of early failure of incisional hernia laparoscopic repair complicated by the strangulation of a jejunal loop four months after surgery is reported. The use of inappropriate material (tacks) to fix the prosthesis to the abdominal wall, a sudden increase of intra-abdominal pressure caused by an episode of haematemesis four hours postoperatively (associated to its consequent endoscopic treatment), and the formation of rectus abdominis muscle hematoma are reported as the main factors determining the slippage of the mesh from the correct position and, ultimately, the early failure of the ventral hernia repair. Furthermore, the aetiology of early failure of laparoscopic incisional hernia repair, reported in literature, is reviewed.

Early, Strangulated Recurrence of Incisional Hernia After Laparoscopic Repair: An Old Complication for a New Technique / Costi, Renato; Randone, B; Cinieri, Gf; Sarli, Leopoldo; Violi, Vincenzo. - In: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES. - ISSN 1092-6429. - 19:(2009), pp. 397-400. [10.1089/lap.2008.0094]

Early, Strangulated Recurrence of Incisional Hernia After Laparoscopic Repair: An Old Complication for a New Technique.

COSTI, Renato;SARLI, Leopoldo;VIOLI, Vincenzo
2009-01-01

Abstract

The introduction of laparoscopy in incisional hernia repair is giving rise to a new class of complications, specific of new techniques and materials. A case of early failure of incisional hernia laparoscopic repair complicated by the strangulation of a jejunal loop four months after surgery is reported. The use of inappropriate material (tacks) to fix the prosthesis to the abdominal wall, a sudden increase of intra-abdominal pressure caused by an episode of haematemesis four hours postoperatively (associated to its consequent endoscopic treatment), and the formation of rectus abdominis muscle hematoma are reported as the main factors determining the slippage of the mesh from the correct position and, ultimately, the early failure of the ventral hernia repair. Furthermore, the aetiology of early failure of laparoscopic incisional hernia repair, reported in literature, is reviewed.
2009
Early, Strangulated Recurrence of Incisional Hernia After Laparoscopic Repair: An Old Complication for a New Technique / Costi, Renato; Randone, B; Cinieri, Gf; Sarli, Leopoldo; Violi, Vincenzo. - In: JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES. - ISSN 1092-6429. - 19:(2009), pp. 397-400. [10.1089/lap.2008.0094]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2285197
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