Successful eTEP-TAR Repair of Incisional and Umbilical Hernias in a 52-Year-Old Patient
The Surgical Gastroenterology team at PACE Hospitals successfully performed an Extended Totally Extraperitoneal Repair (eTEP) with a Right Transverse Abdominis Release (TAR) on a 52-year-old male who had been struggling with a right subcostal incisional hernia and an umbilical hernia, aiming to improve recovery and minimize complications.
Chief Complaints
A 52-year-old male patient presented to the Gastroenterology Department at PACE Hospitals, Hitech City, Hyderabad, with complaints of swelling near the right subcostal region (located in the right upper quadrant of the abdomen). In addition, the patient had a concurrent umbilical hernia, further complicating his abdominal condition. The swelling in the subcostal region had progressively worsened over time, causing increasing discomfort.
Medical History
The patient had a known medical history of an open cholecystectomy performed in 2012 to remove the gallbladder, which was necessitated by complications such as gallstones or gallbladder inflammation. The open cholecystectomy involved making a larger abdominal incision to access and remove the gallbladder, a procedure typically chosen when laparoscopic methods were not feasible due to complications or the patient's specific condition. This surgical history was relevant to his current presentation, as the previous incision site likely contributed to the development of the right subcostal incisional hernia.
Right subcostal incisional hernia occurs at the site of a previous surgical incision, often due to abdominal wall weakness. An umbilical hernia involves protrusion of abdominal tissue through the abdominal wall at the belly button, which is common in both infants and adults. Both types may require surgical intervention to prevent complications like bowel obstruction or strangulation.
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