Nous utilisons des cookies afin de vous garantir une navigation optimale sur notre site. En poursuivant votre navigation sur ce site, vous acceptez de fait l'utilisation de cookies.

Vous devez être connecté pour voir la vidéo. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !

  • 5430
  • 19/02/2019

Left iliac fossa incisional hernia: live laparoscopic repair

Epublication, Feb 2019;19(02). URL:
Vous devez être connecté pour poser une question aux auteurs. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !
Dr. Salvador Morales-Conde presents the clinical case of a 59-year old female patient managed for an incisional hernia with a 6-7cm sac in the left lower quadrant. The patient’s history included a left iliac fossa laparotomy to control bleeding caused by an epigastric artery injury following a laparoscopic appendectomy. The patient was placed in a Trendelenburg position. An optical port and two 5mm operating ports were inserted on the right lateral side of the abdomen. Peritoneal dissection was performed to expose anatomical landmarks including pubic bone, iliac crest, and iliac vessels for proper mesh fixation. The defect of the abdominal wall was closed using a continuous suture. A trimmed mesh (Parietex™ Composite Mesh) was inserted and fixed with tackers to Cooper’s ligament, to the iliac crest, and to the abdominal wall to sufficiently cover the sutured defect. Finally, the preperitoneal flap was fixed on the mesh to prevent intestines from getting into the mesh gap.