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Laparoscopic cholecystectomy following extended totally extraperitoneal repair of a ventral hernia: A case report

التفاصيل البيبلوغرافية
العنوان: Laparoscopic cholecystectomy following extended totally extraperitoneal repair of a ventral hernia: A case report
المؤلفون: Takafumi Shima, Toshikatsu Nitta, Masatsugu Ishii, Ryo Iida, Yasuhiko Ueda, Sadakatsu Senpuku, Ayumi Matsutani, Takashi Ishibashi
المصدر: Annals of Medicine and Surgery
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Intra-abdominal infection, eTEP, extended totally extraperitoneal repair, Case report, Extended totally extraperitoneal repair, Surgery, RS, Rives-Stoppa, General Medicine, Ventral hernias, Secondary mesh infections
الوصف: Introduction and importance Ventral hernial repair extensively requires the use of surgical meshes to cover the abdominal wall. Patients with a history of laparoscopic ventral hernial repair are predisposed to secondary mesh infections. However, strategies to avoid these mesh infections have not yet been reported. Herein, we report the safety of laparoscopic cholecystectomy in a patient with cholecystitis following extended totally extraperitoneal repair of a ventral hernia. Case presentation A 69-year-old man presented with a five-day history of right hypochondrial pain and severe epigastric pain since the previous day. He had undergone ventral hernial repair. With a diagnosis of acute cholecystitis, laparoscopic cholecystectomy was performed. During laparoscopic cholecystectomy, we inserted the first trocar from the right lower quadrant of the abdomen. Subsequently, we completed the surgery without penetrating the mesh by the ports and observing the other ports in the abdominal cavity. The patient recovered without any complications or short-term mesh infections. Clinical discussion When performing abdominal surgery in a patient after ventral hernial repair, the presence of the mesh limits the approachability of the abdominal cavity without mesh penetration. Although it remains unclear whether mesh damage during abdominal surgery causes secondary mesh infection, avoiding any damage to the mesh may be recommended, especially in patients who are highly susceptible to intra-abdominal infection. Conclusion We concluded that if the surgery is completed without damaging the mesh site, mesh infection after abdominal contamination surgery may be avoided.
Highlights • Strategies to avoid mesh infections after surgery have not yet been reported. • Surgery without mesh infection following extended totally extraperitoneal repair. • Mesh infection after surgery may be avoided by avoiding damage to the mesh.
اللغة: English
تدمد: 2049-0801
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::336e7eaaab0922e63cb3e9fc1291f208
http://europepmc.org/articles/PMC8649210
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....336e7eaaab0922e63cb3e9fc1291f208
قاعدة البيانات: OpenAIRE
الوصف
تدمد:20490801