Recurrent Incisional Hernia After Laparoscopic Parietex Mesh Repair
V. Amar, MS, DNB, MRCSEd, FNB(MAS), G. Premalatha, MS, K. B. Gayathri, MS, DNB, P. R. K. Bhargav, MS, MCh
Department of Advanced Laparoscopy, Hernia and Bariatric Surgery, Nova Specialty Hospital, Hyderabad, India (Drs. Amar, Premalatha). Mamata Medical College, Khammam, India (Dr. Gayathri). Endocare Hospital, Vijayawada, India (Dr. Bhargav).
Incisional hernia is a very frequent sequela of laparotomy. Mesh hernioplasty is the treatment of choice. Laparoscopic hernioplasty has become a standard method of care, although it is technically challenging. Various methods of mesh fixation such as sutures, tacks, and anchors have been used, with their unique pros and cons. Mesh separation, recurrence, and postoperative pain are primary morbidities associated with this procedure. We report an interesting case of recurrent incisional hernia after laparoscopic repair with Parietex mesh (Sofradim/Tyco, France) to highlight the causes and pathophysiology of this morbidity.
Key Words: Recurrent Hernia, Omental adhesions, Laparoscopic repair.