Hernia ventral incisional, resolución laparoscópica mediante técnica IPOM-plus. Reporte de caso

Abstract

Introduction: an incisional hernia constitutes an abnormal protrusion of the peritoneum through the pathological scar of a surgical or traumatic wound, whose frequency ranges from 3% to 8% of laparoscopic surgeries.Clinical case: it is a case of a 55-year-old obese patient with a large incisional hernia of two years’ evolution who attended the outpatient service of the Paute Basic Hospital. Among her history, the presence of non-Hodgkin’s lymphoma 11 years ago stands out. The abdominal tomography shows a voluminous incisional hernia in the anterior abdominal wall with a hernial ring of approximately 10 cm through which the omentum and contents of intestinal loops protrude without signs of incarceration. The hernia defect was repaired laparoscopically using the IPOM-plus technique (Intra Peritoneal Onlay Mesh - plus). The patient remained hospitalized for 48 hours, finally she was discharged in good condition.Conclusion: the IPOM-plus technique is an excellent alternative in patients with incisional and ventral hernias since they generate minimal bleeding, short hospital stays and little use of antibiotics. With this results, the clinical importance of this report is reaffirmed.