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Robotic repair of a large abdominal intercostal hernia: a case report and review of literature

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Abstract

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.

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Correspondence to Stephani C. Wang.

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Funding

This study was not funded.

Conflict of interest

Tejinder P. Singh declares that he has no conflict of interest. Stephani Wang declares that she has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study. This study was approved by the institutional IRB.

Written informed consent was obtained from the patient for publication of this Case Report /any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Wang, S.C., Singh, T.P. Robotic repair of a large abdominal intercostal hernia: a case report and review of literature. J Robotic Surg 11, 271–274 (2017). https://doi.org/10.1007/s11701-017-0675-3

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  • DOI: https://doi.org/10.1007/s11701-017-0675-3

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