ROBOTIC-ASSISTED LARGE LUMBAR VENTRAL HERNIA REPAIR WITH MESH
Michael C. Cantrell*, Ruchir Puri
General Surgery, University of Florida Health - Jacksonville, Jacksonville, FL
This case involves a 29 yom who suffered a trauma two years prior resulting in a large left-sided lumbar hernia containing large and small bowel without strangulation. There is a PMH of obesity and tobacco abuse, so patient asked to quit smoking (successfully) and reach a BMI <40. He did receive Botulinum toxin A to the abdominal wall musculature. He presented for planned operation and placed in right lateral position. Three 8mm robotic ports placed on ipsilateral side slightly off midline plus a 12mm assistant port. A preperitoneal flap is created showing 12x12 cm defect that was approximated primarily and reinforced with a 25x18 cm medium weight polypropylene mesh.
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