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Laparoscopic intraperitoneal mesh repair of a large incisional hernia in a kidney transplantation patient: A case report
- Source :
- Asian Journal of Endoscopic Surgery. 15:180-183
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- A 73-year-old woman presented to our hospital because of painful bulging in the right lower abdomen, and developed a 17 × 12 cm incisional hernia after kidney transplantation using right oblique incision. Laparoscopic intraperitoneal onlay mesh (IPOM) repair was performed. Since a transplanted kidney is close to the abdominal wall defect, the space between the transplanted kidney and the abdominal wall was peeled off to secure enough space for the mesh to be place. After that the fascial defect was detected precisely, and the polypropylene-polyglycolic acid composite mesh was fixed with 3 cm overlapping of the hernia ring by non-absorbable tacks. The patient was discharged 9 days after surgery. In general, abdominal incisional hernias after kidney transplantation are relatively large with boundary defect of abdominal wall ensuing between the abdominal and allograft. However, laparoscopic IPOM repair of incisional hernia after kidney transplantation can be performed safely and effectively.
- Subjects :
- medicine.medical_specialty
Mesh repair
Incisional hernia
business.industry
Abdominal wall defect
Transplanted kidney
General Medicine
030230 surgery
medicine.disease
Surgery
Abdominal wall
03 medical and health sciences
surgical procedures, operative
0302 clinical medicine
medicine.anatomical_structure
030220 oncology & carcinogenesis
medicine
Abdomen
Hernia
business
Kidney transplantation
Subjects
Details
- ISSN :
- 17585910 and 17585902
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Endoscopic Surgery
- Accession number :
- edsair.doi...........ab3c3dd3562114bab89e64d970e822a8