Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to han...

BACKGROUND A variety of laparoscopic procedures for the repair of abdominal wall hernias have been described. The repair described in this paper represents a modification and improvement of one approach. METHODS Our technique employs an Origin Tacker (Origin Medsystems, Inc, Menlo Park, CA) and a Gore suture passer (W. L. Gore, Flagstaff, AZ) to secure an expanded polytetrafluoroethylene (ePT...

Dear Editor, Spigelian hernia can be described as a protrusion of a peritoneal sac, organ, or preperitoneal fat through a congenital or acquired defect in the Spigelian fascia, which is the part transeversus abdominis aponeurosis that lies between the semilunar (Spigelian) line and the lateral edge of the rectus muscle, often above the inferior epigastric vessels, at the level of the arcuate li...

BACKGROUND Ultrasound, computed tomography, and magnetic resonance imaging of abdominal wall has increasingly been used for hernia diagnosis when clinical examination is uncertain. Anatomical study of abdominal wall along with the ultrasound of transversus abdominis muscle aponeurosis can help identify a Spigelian hernia in this region, a disease of difficult diagnosis. AIM To compare the ult...

BACKGROUND Laparoscopic approach for wound defects is a procedure that aims to reduce surgical aggressiveness against the abdominal wall by using minimal incisions and dedicated instruments. METHODS We report our experience about clinical outcome of elderly patients undergoing laparoscopic repair for incisional hernias (Group I) and primary inguinal hernias (Group II) from June 2007 to Septem...

Herniation of urinary bladder is rare [1] and when present, it commonly involves either inguinal or femoral canal accounting for almost 1-3 % of all inguinal hernias [2]. Very often such hernias are asymptomatic and turns out to be an incidental finding in an imaging carried out for some other clinical indications [3]. Inguinal hernias may be direct or indirect. Indirect inguinal hernia protrud...

Goal. To review the literature data on wound complications after prosthetic repair of hernial defects anterior abdominal wall, causes and methods prevention.Results. An analysis has shown that problem during endoprosthetics for external hernias not been completely solved. Among all postoperative such hernias, seroma, infiltration prolonged exudation are most common, less often ligature fistula,...

While umbilical hernias frequently occur during pregnancy, the few reported cases of uterine or fibroid incarceration in ventral hernias during pregnancy all involved incisional abdominal wall defects from prior laparotomies and Cesarean sections; none involved umbilical hernias. We discuss the case of a 42-year-old well-developed, well-nourished grand multiparous woman (G8P7) with a huge umbil...

There have been considered the failure origin of hernia repair in a certain group of patients with large ventral and incisional hernias. We have demonstrated why a number of current standard techniques cannot be successfully applied in these cases; and shown one of new and promising solutions of the problem. There have been considered the important aspects of an abdominal wall reconstruction wi...

OBJECTIVE Donor site hernias are a rare but well recognised complication of deep inferior epigastric perforator (DIEP) flap breast reconstruction but there are no reported cases of epigastric hernias after such surgery. We report three patients who developed symptomatic epigastric hernias within 2-8 months after discharge from follow-up. PATIENTS AND METHODS Patients who were referred to the ...