Laparoscopic lower lateral incisional hernia repair after kidney transplant
- Autori: Damiano, G.; Palumbo, V.; Spinelli, G.; Ficarella, S.; Buscemi, S.; Sinagra, E.; Marrazzo, A.; LO MONTE, A.
- Anno di pubblicazione: 2015
- Tipologia: Proceedings (TIPOLOGIA NON ATTIVA)
- OA Link: http://hdl.handle.net/10447/200377
Introduction: Post-incisional hernia in renal transplant patients is a complication that affects negatively the global outcome of transplant and the quality of life. The repair of this condition is classically performed by open repair with mesh. Evidences now suggest that laparoscopic repair could be the technique of choice for this category of patients can be performed in these patients with optimal results. The anchorage of mesh close to the graft should be performed by combination of fibrin sealant and tacks. Methods: A case of post incisional hernia in a kidney transplant recipient was repaired by laparoscopic onlay mesh technique. The dual coated Suprarnesh® mesh was anchored with absorbable tacks and fibrin sealant on the side in contact with graft surface. Results: Patient was discharged after 4 days. The 3 months follow-up did not show mesh displacement or recurrence Conclusions: Laparoscopic onlay mesh repair may become the gold standard for kidney transplanted patients affected by post incisional hernia. The difficulties of anchorage of the mesh close to the graft can be overcome by combination with fibrin sealant glue. This technique seems to offer advantages for this population of patients.