Minimally Invasive eTEP-RS Procedure for Incisional Hernia and Recti Repair in an Elderly Patient
PACE Hospitals’ Expert Surgical Gastroenterology team successfully performed a Laparoscopic Extended totally extraperitoneal Rives-Stoppa (eTEP-RS) procedure and the repair of a divarication of recti for a 67-year-old female patient suffering from an incisional hernia with divarication of recti.
Chief Complaints
A 67-year-old female patient presented to the PACE Hospitals, Hitech City, Hyderabad with complaints of localized abdominal distention in the suprapubic region for the past six months, which had been gradually increasing in size. This was associated with abdominal pain, but there was no weight loss, and the patient's appetite remained normal.
Medical History
Delving further, it was understood that the patient underwent a laparoscopic cholecystectomy in 2022 for chronic cholecystitis.
Diagnosis
Upon arrival at PACE Hospitals, the patient's vital signs were within normal limits. After a thorough physical examination, the doctors identified pain in the localised abdominal distention in the suprapubic region, and diagnostic tests, including Contrast-Enhanced Computed Tomography (CECT) of abdomen and pelvis, confirmed an incisional hernia with divarication of recti.
Incisional hernia with divarication of the recti is a condition that involves weakening of the abdominal wall at the location of a previous surgical incision, which causes abdominal contents to protrude. This medical condition is characterised by the separation of the two rectus abdominis muscles along the midline, causing pain, discomfort, and noticeable abdominal distention. This condition may require surgical intervention to repair the hernia and restore the integrity and function of the abdominal muscles.