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Incisional intercostal hernia after a nephrectomy.

R Rosch1, K Junge, J Conze

  • 1Department of Surgery, University Hospital, Aachen, Germany. r.rosch@chir.rwth-aachen.de

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 6, 2005
PubMed
Summary
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Intercostal incisional hernias are rare and easily missed. This case report details the diagnosis and successful surgical repair of an intercostal incisional hernia using mesh reinforcement.

Area of Science:

  • Abdominal Surgery
  • Surgical Oncology
  • Hernia Repair

Background:

  • Intercostal incisional hernias are rare complications following abdominal surgery.
  • Delayed diagnosis is common due to their infrequent presentation.

Observation:

  • A female patient presented with a left-sided intercostal incisional hernia post-lumbar tumor nephrectomy.
  • Clinical examination and ultrasound revealed a hernia, but diagnosis was delayed.

Findings:

  • Laparotomy identified a 5x5 cm fascial defect with a colonic sliding hernia.
  • Successful repair was achieved using permanent mesh in the retromuscular position.

Implications:

  • This case highlights the diagnostic challenges of rare intercostal hernias.

Related Experiment Videos

  • Mesh repair in the retromuscular space is a feasible and effective treatment option.