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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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A rare nonincisional lateral abdominal wall hernia
1Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
Annals of Surgical Treatment and Research
|February 19, 2015
Summary
This case report details a rare lateral abdominal wall hernia in a 68-year-old woman. Laparoscopic repair with mesh was successful, showing no recurrence.
Area of Science:
- Abdominal wall surgery
- Minimally invasive surgery
- Hernia repair
Background:
- Lateral abdominal wall hernias are rare, distinct from spigelian or lumbar hernias.
- This case involves a large (8 cm) hernia presenting in the midaxillary line below the costal margin.
Observation:
- The patient, with no prior abdominal surgery or trauma, presented with a reducible mass.
- CT scan revealed a defect in the transversus abdominis and internal oblique muscles with omental herniation.
Findings:
- The hernia sac had a smooth peritoneal lining without inflammation or adhesion.
- Laparoscopic repair using Parietex composite mesh with an intraperitoneal onlay technique was performed.
Implications:
- Successful laparoscopic management of rare lateral abdominal wall hernias is demonstrated.
- This approach offers a viable option for complex abdominal wall defects, potentially reducing recurrence.

