Wang Stephani C, Singh Tejinder P
Department of Medicine, Albany Medical Center, 43 New Scotland Ave, Albany, NY, 12208, USA.
Department of Surgery, Minimally Invasive and Bariatric Surgery, 50 New Scotland Ave, Albany, NY, 12208, USA.
J Robot Surg. 2017 Jun;11(2):271-274. doi: 10.1007/s11701-017-0675-3. Epub 2017 Jan 7.
Abdominal intercostal hernia is an uncommon phenomenon, reported in few case reports and small case series. If left untreated, it can lead to strangulation and visceral ischemia. Prompt diagnosis and appropriate surgical intervention are thus critical to prevent resulting morbidity. We present a 50-year-old woman with a large abdominal intercostal hernia after an open nephrectomy. She underwent a successful robotic repair of the hernia with mesh placement. Through the presentation, we would like to raise awareness of intercostal hernia as a complication of open nephrectomy and significance of early diagnosis in avoiding potential morbidity. We also performed a review of literature especially focusing on acquired abdominal intercostal hernia secondary to prior surgery. Although intercostal hernias can be difficult to repair secondary to the size and location, adequate visualization and surgical planning are critical to successful repair.
腹肋间疝是一种罕见的现象，仅有少数病例报告和小病例系列报道。如果不进行治疗，它可能导致绞窄和内脏缺血。因此，及时诊断和适当的手术干预对于预防由此产生的发病率至关重要。我们报告一例50岁女性，在开放性肾切除术后出现巨大腹肋间疝。她接受了成功的机器人辅助疝修补术并放置了补片。通过这个病例报告，我们希望提高对作为开放性肾切除术并发症的肋间疝的认识，以及早期诊断对于避免潜在发病率的重要性。我们还对文献进行了综述，特别关注既往手术继发的后天性腹肋间疝。尽管由于疝的大小和位置，肋间疝可能难以修复，但充分的视野暴露和手术规划对于成功修复至关重要。
