Early Posterior Rectus Sheath Hernia Recurrence After Open Incisional Hernia Repair with Retrorectus Mesh Placement
Klimovich Grigoriy V., Zhou Randal, Roberts Kurt E.,
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( Klimovich Grigoriy V. ) - Yale University School of Medicine Section of Gastrointestinal Surgery
( Zhou Randal ) - Yale University School of Medicine Section of Gastrointestinal Surgery
( Roberts Kurt E. ) - Yale University School of Medicine Section of Gastrointestinal Surgery
Abstract
A 51-year-old female underwent recurrent open incisional hernia repair with retrorectus mesh placement. Early in the post-operative course, she developed a hernia reoccurrence secondary to breakdown of the staple line, at the level of the posterior rectus sheath, resulting in a small bowel obstruction. This hernia could not be felt upon physical examination but was detected by imaging. The patient was promptly taken to the operating room for laparoscopic reduction of the incarcerated loop of small intestine, along with laparoscopic repair of the posterior rectus sheath defect. It is critical for surgeons to recognize the possibility of a staple line breakdown at the level of posterior rectus sheath early on in the diagnosis which would prompt urgent surgical intervention in the setting of a bowel obstruction.
키워드
hernia repair; intestinal obstruction; laparoscopy
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