Laparoscopic mesh repair of transverse rectus abdominus muscle and deep inferior epigastric flap harvest site hernias

Nagesh B. Ravipati, Barbara A Pockaj, Kristi L. Harold

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

INTRODUCTION: The transverse rectus abdominus muscle (TRAM) flap is one of the treatment options for breast reconstruction. TRAM flap reconstruction donor site herniation rates range from 1% to 8.8%. Traditionally, these hernias were treated by an open primary repair with or without the addition of onlay mesh. We report laparoscopic approach to treat TRAM and deep inferior epigastric perforator flap (DIEP) harvest site hernias with mesh. CASES: We treated 5 patients, 4 from TRAM and 1 from DIEP flap harvest site hernias during the period of October 2003 to January 2006. Two of these patients underwent previous open mesh repair with recurrence. All of these patients underwent laparoscopic hernia repair using polytetrafluoroethylene dual mesh. Follow-up ranged 6 to 31 months without any recurrences. CONCLUSIONS: Laparoscopic mesh repair of ventral hernias located at TRAM and DIEP flap harvest sites can be performed safely and with a low rate of recurrence.

Original languageEnglish (US)
Pages (from-to)345-348
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume17
Issue number4
DOIs
StatePublished - Aug 2007

Fingerprint

Rectus Abdominis
Hernia
Perforator Flap
Muscles
Recurrence
Ventral Hernia
Inlays
Mammaplasty
Herniorrhaphy
Polytetrafluoroethylene
Tissue Donors

Keywords

  • Laparoscopic hernia repair
  • PTFE dual mesh
  • TRAM flap
  • TRAM flap hernia

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic mesh repair of transverse rectus abdominus muscle and deep inferior epigastric flap harvest site hernias. / Ravipati, Nagesh B.; Pockaj, Barbara A; Harold, Kristi L.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 17, No. 4, 08.2007, p. 345-348.

Research output: Contribution to journalArticle

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AB - INTRODUCTION: The transverse rectus abdominus muscle (TRAM) flap is one of the treatment options for breast reconstruction. TRAM flap reconstruction donor site herniation rates range from 1% to 8.8%. Traditionally, these hernias were treated by an open primary repair with or without the addition of onlay mesh. We report laparoscopic approach to treat TRAM and deep inferior epigastric perforator flap (DIEP) harvest site hernias with mesh. CASES: We treated 5 patients, 4 from TRAM and 1 from DIEP flap harvest site hernias during the period of October 2003 to January 2006. Two of these patients underwent previous open mesh repair with recurrence. All of these patients underwent laparoscopic hernia repair using polytetrafluoroethylene dual mesh. Follow-up ranged 6 to 31 months without any recurrences. CONCLUSIONS: Laparoscopic mesh repair of ventral hernias located at TRAM and DIEP flap harvest sites can be performed safely and with a low rate of recurrence.

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