Ventral incisional hernia, laparoscopic resolution by IPOM-plus technique. Case report

Authors

  • Paúl Alejandro Sarmiento Beltrán Estudiante de carrera de Medicina de la Universidad de Cuenca. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0002-6121-5246
  • Paúl Adrián Tuapante Quintuña Universidad de Cuenca. Dispensario Médico. Departamento de Bienestar Universitario. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0002-5810-262X
  • Ismael Francisco Pesántez Brito Médico. Especialista en Cirugía General. Hospital de Paute. Unidad Clínico-Quirúrgica. Departamento de Cirugía. Cuenca-Azuay-Ecuador. https://orcid.org/0000-0001-7275-562X

DOI:

https://doi.org/10.18537/RFCM.39.03.07

Keywords:

incisional hernia, ventral hernia, laparoscopy

Abstract

Introduction: an incisional hernia constitutes an abnormal protrusion of the peritoneum through the pathological scar of a surgical or traumatic wound, whose frequency ranges from 12% to 15% of laparoscopic surgeries.

Clinical case: It is a case of a 55-year-old obese patient with a large incisional hernia of two years' evolution who attended the outpatient service of the Paute Basic Hospital. Among her history, the presence of non-Hodgkin's lymphoma 11 years ago stands out. The abdominal tomography shows a voluminous incisional hernia in the anterior abdominal wall with a hernial ring of approximately 10 cm through which the omentum and contents of intestinal loops protrude without signs of incarceration. The hernia defect was repaired laparoscopically using the IPOM-plus technique (Intra Peritoneal Onlay Mesh - plus). The patient remained hospitalized for 48 hours, finally she was discharged in good condition.

Conclusion: the IPOM-plus technique is an excellent alternative in patients with incisional and ventral hernias since they generate minimal bleeding, short hospital stays and little use of antibiotics. With this results, the clinical importance of this report is reaffirmed.

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Published

2022-03-29

Issue

Vol. 39 No. 3 (2021): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

License

Copyright (c) 2022 Paúl Alejandro Sarmiento Beltrán, Paúl Adrián Tuapante Quintuña, Ismael Francisco Pesántez Brito

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