Hybrid laparoscopic and open repair of post-nephrectomy flank hernia.
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2020
Authors
Gan, S.W.
Bruening, M.
Bhattacharjya, S.
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Journal article
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Journal of Surgical Case Reports, 2020; 2020(9):rjaa299-1-rjaa299-3
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Siang Wei Gan, Martin Bruening and Shantanu Bhattacharjya
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Abstract
Surgical repair of f lank hernia is not routinely performed, due to perceived technical difficulties with the surgery and risk of recurrence, or the misconception that flank hernia is solely due to a denervation injury. Due to the rareness of f lank hernia in the literature, there is no general consensus on the best method of surgical repair. We present the case of a patient with a symptomatic large flank hernia following open nephrectomy, in which a hybrid technique of open and laparoscopic f lank hernia repair with sublaymesh and bone anchor fixation was successfully performed with good outcome. This case highlights the benefits of the hybrid approach, which allowed a laparoscopic assessment of the defect and adhesiolysis, followed by the open repair which enabled adequate mesh overlap, fixation to surrounding tissues and bone anchor fixation.
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© The Author(s) 2020. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com