Laparoscopy-assisted repair with Ventralex ST Hernia Patch for a small subcostal hernia: A case report |
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| Authors: | Tatsuya Tazaki Nobuyuki Okamoto Masaru Sasaki Mohei Kohyama Yoichi Sugiyama Shinya Takahashi Atsushi Nakamitsu |
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| Affiliation: | 1. Department of Surgery, JA Hiroshima General Hospital, Hatsukaichi, Japan;2. Department of Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan |
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| Abstract: | A 55-year-old woman with a history of right hepatic lobectomy via a Benz incision presented for evaluation of a new abdominal bulge in the right upper quadrant. We diagnosed an incisional hernia, but because we could neither reduce the hernia contents nor locate the orifice, we performed a laparoscopic evaluation. Laparoscopy revealed subcostal herniation of the greater omentum via a 2-cm defect on the caudal side of the right ribs, which we repaired using a Ventralex ST Hernia Patch. Laparoscopic placement of this mesh with straps allowed for reliable deployment, fixation, and confirmation of defect closure, including the cranial aspect—often a major challenge in subcostal hernia repair. |
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| Keywords: | incisional hernias laparoscopy surgical mesh |
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