Yordanis Hernandez Cervantes Barbara, Almager Acevedo Fernando, Martinez Lopez Duniesky, Guzman Lambert Radisnay, Rodriguez Gonzalez Mariuska
Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
Department of Internal Medicine and Therapeutics, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
J Surg Case Rep. 2022 Nov 28;2022(11):rjac546. doi: 10.1093/jscr/rjac546. eCollection 2022 Nov.
The incidence of the Pfannenstiel incisional hernia (IH) is the lowest of all IHs, it can occur due to patient-related factors or faulty technique in closure of the deeper layer. The use of prosthetic mesh repair is heralding a new era of tension-free herniorrhaphy, while the optimal location for its implantation remains controversial. As a result, no strategy or technique has become the gold standard for its repair. We report our first experience with an IH through Pfannenstiel in a 49-year-old obese female patient. Inlay polypropylene open mesh repair was performed. As the only complication, the patient presented with a seroma in the wound, which was aspirated, and she is currently asymptomatic with outpatient consultation follow-up. Pfannenstiel IHs have received minimal attention on the optimal surgical approach and postoperative results, making this case a good starting point for future studies.
耻骨上横切口疝（IH）的发生率在所有疝中是最低的，它可能由于患者相关因素或深层缝合技术不当而发生。人工合成补片修补术开创了无张力疝修补术的新时代，但其植入的最佳位置仍存在争议。因此，尚无一种策略或技术成为其修补的金标准。我们报告了我们对一名49岁肥胖女性患者经耻骨上横切口疝修补的首例经验。采用了聚丙烯开放式补片内嵌修补术。唯一的并发症是患者伤口出现血清肿，已进行抽吸，目前在门诊随访中无症状。耻骨上横切口疝在最佳手术方法和术后结果方面受到的关注极少，使该病例成为未来研究的良好起点。
