The patient is a 54-year-old woman with a history of obesity (BMI=50.40). In 2012, she underwent surgery for incarcerated umbilical hernia, which did not require intestinal resection. She currently presented a midline laparotomy incisional hernia, which had caused several hospitalizations due to intestinal obstruction that had resolved with conservative measures. Abdominal CT revealed a giant i...

Hernia is undoubtedly one of the most common cases dealt by surgeons all over the world. Of the various type of abdominal hernias, the most unique are arguably the lumbar hernias. Lumbar hernia is an extremely rare variety of hernia with approximately only 300 cases reported in the literature. This unusual situation is relatively a rare defect of the posterior abdominal wall. This article prese...

BACKGROUND Recurrence is the most important complication of abdominal wall reconstruction. It is possible the repair itself is intact, but bulging or expansion of mesh causes recurrent swelling's of the abdominal wall. CASE SUMMARY In this report, we present bulging of a polyester mesh due to central pore expansion. DISCUSSION Repetitive stress and variations in intra-abdominal pressure can...

Background: Most surgeons are reluctant to place synthetic mesh in contaminated abdominal wall repairs for fear of mesh infection. Biologic meshes are often used in this setting; however, these meshes lack the long-term durability of permanent, synthetic mesh. The authors present a single-center case series illustrating the safety and efficacy of the use of lightweight, large-pore polypropylene...

Introduction The perineal swelling can be due to hernia, accumulation of fluid or some timorous growth however, perineal hernia is found to be most common cause of such swellings (Sharma et al., 2010). Perineal hernia is protrusion of the abdominal or the pelvic viscera through the pelvic diaphragm which supports the rectal wall (Tyagi and Singh, 2010). The pelvic diaphragm which controls entry...

INTRODUCTION Morgagni hernia is a rare entity that accounts for 3-5% of diaphragmatic hernias. They are mostly asymptomatic and discovered incidentally. Surgical treatment is indicated once diagnosis is made. Abdominal or thoracic accesses are possible using open or minimally invasive technique. METHODS We report two cases of laparoscopic assisted repair of Morgagni hernia conducted by primar...

Spigelian hernia (SH), or ventro-lateral hernia is typically a rare clinical condition, it representing only about 1.5% of hernial formation cases of the abdominal wall. The condition requires a high index of suspicion due to its high potential for life-threatening complications. To the best of our knowledge, the first case of Spigelian hernia was reported in 1933, and subsequent reports would ...

AIMS AND BACKGROUND Diagnostic technologies which penetrate the abdominal wall in an attempt to definitively diagnose an intraabdominal malignancy by biopsy can contaminate the abdominal wall by cancerous cells. With follow-up these entrapped cancer cells may progress as an abdominal wall recurrence of the disease process. Frequently, laparoscopy is the definitive diagnostic study which results...

Introduction: Spigelian hernia is a rare variety of ventral abdominal hernia accounting for less than 2% of all abdominal hernias. Preoperative diagnosis is usually difficult and patients may present with intestinal obstruction. Treatment involves patient optimization and repair of the hernia. The latter is achieved either by open or laparoscopic technique with or without mesh. Outcome is usual...

In the last decade, surgical mesh has become what is considered the ideal method for repairing hernias of any type. As their use has become routine, the surgical process has undergone changes in such a way that the mesh has taken the leading role in the procedure. Meanwhile, other steps that had been consolidated after years of experience and were considered essential for avoiding recurrences h...