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A rare nonincisional lateral abdominal wall hernia.

Kim DJ, Park JW - Ann Surg Treat Res (2015)

Bottom Line: Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing.The mass was easily reduced manually or by position change to left lateral decubitus.The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
A 68-year-old woman presented a rare lateral abdominal wall hernia. Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing. She had no history of abdominal trauma, infection, or operation previously. The mass was easily reduced manually or by position change to left lateral decubitus. CT scan showed a defect of the right transversus abdominis muscle and internal oblique muscle at the right flank with omental herniation. Its location is different from that of spigelian hernia or lumbar hernia. The peritoneal lining of the hernia sac was smooth and there was no evidence of inflammation or adhesion. The hernia was successfully repaired laparoscopically using Parietex composite mesh with an intraperitoneal onlay mesh technique. The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

No MeSH data available.


Related in: MedlinePlus

Laparoscopic view of lateral abdominal wall defect. Laparoscopic exploration of abdomen revealed omental herniation through lateral abdominal wall defect measuring 6.5 cm × 6 cm. Peritoneal lining of hernia sac was smooth and there was no evidence of inflammation or adhesion. L, liver; C, costal margin; H, hernia sac.
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Figure 2: Laparoscopic view of lateral abdominal wall defect. Laparoscopic exploration of abdomen revealed omental herniation through lateral abdominal wall defect measuring 6.5 cm × 6 cm. Peritoneal lining of hernia sac was smooth and there was no evidence of inflammation or adhesion. L, liver; C, costal margin; H, hernia sac.

Mentions: We performed laparoscopic hernia repair using 20 × 15-cm-sized Parietex composite mesh (Covidien, Seoul, Korea) with an intraperitoneal onlay mesh technique. Laparoscopic exploration of the abdomen revealed omental herniation through the lateral abdominal wall defect measuring 6.5 cm × 6 cm (Fig. 2). The right colon was mobilized at the hepatic flexure to provide adequate margins, at least 4 cm, surrounding the defect for mesh placement. The peritoneum overlying the hernia was dissected off and the mesh was positioned over the defect with 4-cm margins and secured with transmural nonabsorbable sutures and intra-abdominal tacks. The patient had an uneventful postoperative course and was discharged. There is no evidence of hernia recurrence at 6-month and 1-year follow-up visits.


A rare nonincisional lateral abdominal wall hernia.

Kim DJ, Park JW - Ann Surg Treat Res (2015)

Laparoscopic view of lateral abdominal wall defect. Laparoscopic exploration of abdomen revealed omental herniation through lateral abdominal wall defect measuring 6.5 cm × 6 cm. Peritoneal lining of hernia sac was smooth and there was no evidence of inflammation or adhesion. L, liver; C, costal margin; H, hernia sac.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325649&req=5

Figure 2: Laparoscopic view of lateral abdominal wall defect. Laparoscopic exploration of abdomen revealed omental herniation through lateral abdominal wall defect measuring 6.5 cm × 6 cm. Peritoneal lining of hernia sac was smooth and there was no evidence of inflammation or adhesion. L, liver; C, costal margin; H, hernia sac.
Mentions: We performed laparoscopic hernia repair using 20 × 15-cm-sized Parietex composite mesh (Covidien, Seoul, Korea) with an intraperitoneal onlay mesh technique. Laparoscopic exploration of the abdomen revealed omental herniation through the lateral abdominal wall defect measuring 6.5 cm × 6 cm (Fig. 2). The right colon was mobilized at the hepatic flexure to provide adequate margins, at least 4 cm, surrounding the defect for mesh placement. The peritoneum overlying the hernia was dissected off and the mesh was positioned over the defect with 4-cm margins and secured with transmural nonabsorbable sutures and intra-abdominal tacks. The patient had an uneventful postoperative course and was discharged. There is no evidence of hernia recurrence at 6-month and 1-year follow-up visits.

Bottom Line: Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing.The mass was easily reduced manually or by position change to left lateral decubitus.The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.

ABSTRACT
A 68-year-old woman presented a rare lateral abdominal wall hernia. Three month before admission to Chungbuk National University Hospital, she found a large protruding mass measuring 8 cm in diameter in the midaxillary line just below the costal margin upon heavy coughing. She had no history of abdominal trauma, infection, or operation previously. The mass was easily reduced manually or by position change to left lateral decubitus. CT scan showed a defect of the right transversus abdominis muscle and internal oblique muscle at the right flank with omental herniation. Its location is different from that of spigelian hernia or lumbar hernia. The peritoneal lining of the hernia sac was smooth and there was no evidence of inflammation or adhesion. The hernia was successfully repaired laparoscopically using Parietex composite mesh with an intraperitoneal onlay mesh technique. The patient was discharged uneventfully and did not show any evidence of recurrence at follow-up visits.

No MeSH data available.


Related in: MedlinePlus