OBJECTIVE High recurrence rates have been documented after primary repair of incisional hernias. Laparoscopic ventral and incisional hernia repairs have been performed with very low rates of recurrence. We have modified the standard technique of laparoscopic repair in patients with small incisional and ventral hernias. The purpose of this study was to document the technique utilizing only two 5...

HYPOTHESIS Repair of incisional hernias in renal transplant recipients is compromised because of immunosuppressive therapy. DESIGN Retrospective review. SETTING University tertiary care institution. PATIENTS Forty-two recipients of renal transplants or combined renal-pancreas transplants who underwent incisional herniorrhaphy were included in our study. INTERVENTION Incisional herniorrh...

INTRODUCTION Lumbar hernias occur infrequently and can be congenital, primary (inferior or Petit type, and superior or Grynfeltt type), posttraumatic, or incisional. They are bounded by the 12th rib, the iliac crest, the erector spinae, and the external oblique muscle. Most postoperative incisional hernias occur in nephrectomy or aortic aneurysm repair incisions. CASE REPORT We present 2 pati...

OBJECTIVE To assess knowledge on the abdominal wall closure through a surgeon cohort survey. METHODS A twenty question individual questionnaire on laparotomy in elective surgery. RESULTS A total of 131 surgeons from seven hospitals responded (72% specialists and 28% in training). 71% of respondents estimated the frequency of incisional hernia to be higher than 15% and 54% considered the tec...

OBJECTIVE To assess the local wound complications in complicated/ high risk laparotomies in terms of wound dehiscence and incisional hernia formation with a modified technique of midline abdominal wound closure. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of General Surgery, Combined Military Hospital, Bahawal Nagar Cantonment, May 2006 to June 2008. METH...

OBJECTIVE Post-laparotomy wound dehiscence, evantration and evisceration are important complications leading to an increase in both morbidity and mortality. Incisional hernias are frequently observed following abdominal surgeries and their occurrence is related to various local and systemic factors. This study aims to analyze the factors affecting wound healing by investigating the parameters t...

Morbid obesity is another important risk factor for the development of an incisional hernia and a parastomal hernia [9, 10]. Schreinemacher et al. [9] reported that hernias were more prevalent in patients with morbid obesity (body mass index of 30 and higher) and in patients with a temporary stoma wound (25.8% vs. 59.1%). De Raet et al. [10] reported that a waist circumference in excess of 100 ...

To cite: West C, Richards J, Sujendran V, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217585 DESCRIPTION A 70-year-old man presented to accident and emergency (A&E) department with spontaneous rupture of his incisional hernia, which occurred at rest. He previously had an emergency open abdominal aortic aneurysm repair. Postoperatively he developed a...

OBJECTIVE To present results obtained with laparoscopic correction of incisional lumbar hernia in patients with minimum follow-up of 1 year. MATERIALS AND METHODS We prospectively studied 7 patients diagnosed with incisional lumbar hernia after physical examination and computerized tomography. We used laparoscopic transperitoneal access through 3 ports. One polypropylene mesh was introduced i...