Laparoscopic intraperitoneal onlay mesh repair for a large obstructed ventral incisional enterocele

Abstract

Laparoscopic bridging repairs of ventral hernias have now been largely replaced by fascial suture closure followed by prosthetic reinforcement because the latter is biomechanically and functionally superior to the former. Although initially performed for relatively smaller defects, these repairs are now performed for defects of varying dimensions. This has been greatly facilitated by the development of barbed sutures. We present the case of a 94-year-old woman 
who presented with small-bowel obstruction. Examination and imaging revealed a large obstructed ventral incisional hernia. She underwent totally laparoscopic repair and had an uneventful post-operative recovery.