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Laparoscopy‐assisted repair with Ventralex ST Hernia Patch for a small subcostal hernia: A case report
Author(s) -
Tazaki Tatsuya,
Okamoto Nobuyuki,
Sasaki Masaru,
Kohyama Mohei,
Sugiyama Yoichi,
Takahashi Shinya,
Nakamitsu Atsushi
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12827
Subject(s) - medicine , surgery , hernia , laparoscopy , fixation (population genetics) , abdominal wall , environmental health , population
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.