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Combined abdominal wall paresis and incisional hernia after laparoscopic cholecystectomy
1II. Department of Surgery, University of Cologne, Klinikum Merheim, Ostmerheimerstrasse 200, 51109 Cologne, Germany.
Surgical Endoscopy
|March 5, 1999
Abstract:
A case of combined abdominal wall paresis and incisional hernia after laparoscopic cholecystectomy is reported. The paresis possibly occurred by a lesion of the N. intercostalis when extending the incision for stone extraction. Possibly the paresis was a predisposing factor for the development of an incisional hernia. The causes of abdominal wall paresis are explored with a review of the literature. In spite of minimal trauma to the anterior abdominal wall in laparoscopic procedures, the risk of iatrogenic lesions remains.