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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

Pericardiectomy causing abdominal hernia incarceration.

Taufiek Konrad Rajab¹, Musoni Maurice, Jackline Munyana

¹Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. trajab@rics.bwh.harvard.edu

Interactive Cardiovascular and Thoracic Surgery

|September 21, 2011

Summary

Constrictive pericarditis treatment can cause abdominal hernias to become incarcerated due to rapid fluid loss. Careful examination for hernias and consideration of surgical repair are crucial before pericardiectomy.

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Area of Science:

Cardiology
Surgical Oncology

Background:

Constrictive pericarditis is a condition involving inflammation and thickening of the pericardium.
Massive ascites, or abdominal fluid accumulation, can be a symptom of constrictive pericarditis.
Abdominal hernias, such as umbilical hernias, can coexist with these conditions.

Observation:

A 26-year-old male with a long-standing, asymptomatic giant umbilical hernia presented with constrictive pericarditis and massive ascites.
Following a successful pericardiectomy, the patient experienced prompt incarceration of the abdominal hernia.
This complication arose from rapid ascitic fluid resolution due to autodiuresis, leading to hernial orifice collapse.

Findings:

Successful pericardiectomy in patients with massive ascites can precipitate abdominal hernia incarceration.
Rapid fluid shifts post-pericardiectomy are a key factor in hernia complications.
Autodiuresis following pericardiectomy can lead to unexpected surgical emergencies.

Implications:

Patients with constrictive pericarditis and ascites require thorough abdominal hernia screening before pericardiectomy.
Perioperative hernia repair should be considered in such cases.
Close monitoring during postoperative diuresis is essential to prevent hernia complications.