Hybrid laparoscopic and open repair of post-nephrectomy flank hernia.

Abstract

Surgical repair of flank 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 flank 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 flank hernia repair with sublay mesh 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.

• Authors: Siang Wei Gan, Martin Bruening, Shantanu Bhattacharjya
• Journal: Journal of surgical case reports (J Surg Case Rep) Vol. 2020 Issue 9 Pg. rjaa299 (Sep 2020) ISSN: 2042-8812 [Print] England
• PMID: 32963758 (Publication Type: Case Reports)
• Copyright: Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.