Gupta Anupam K
General and Minimally Invasive Surgery SSM Health, Mt. Vernon, IL, United States.
J Surg Case Rep. 2025 Jul 22;2025(7):rjaf523. doi: 10.1093/jscr/rjaf523. eCollection 2025 Jul.
Inguinal hernia is one of the most common procedures performed using a robotic transabdominal preperitoneal (TAPP) approach. Recurrence can occur due to failed reperitonealization. A breach in the peritoneum exposing mesh to bowel can lead to severe complications, requiring surgical correction. We describe a case where, despite repeated closure attempts, the peritoneum could not be approximated. An intraperitoneal onlay mesh was used as rescue therapy in a morbidly obese, diabetic female with multiple comorbidities on Plavix.
腹股沟疝是采用机器人经腹腹膜前(TAPP)入路进行的最常见手术之一。由于腹膜化失败可能会发生复发。腹膜破裂使补片暴露于肠管可导致严重并发症,需要手术矫正。我们描述了一例尽管反复尝试缝合,但腹膜仍无法对合的病例。对于一名患有多种合并症且正在服用波立维的病态肥胖糖尿病女性,采用了腹腔内置入补片作为挽救治疗。