General Surgery Case Presentation Sundeep Guliani
• 62 yo female with unobstructing symptomatic right flank hernia
• PSH: Hysterectomy, vaginal prolapse repair both via pfannenstiel incisions
Cont
• OR – Lap Assisted– Swiss cheese pelvic hernias – Incarceration reduce laparoscopically– Right flank open primary hernia repair– Laparoscopic placement of mesh
• POD 4 – N,V,Abd distention -> CT scan
• 27 pts with average 188 cm hernia defect evaluated
• Found repair was technically feasible but often required very large mesh
• Follow up short but no operative complications