ROBOTIC REDO REDO REPAIR OF TRAM FLAP HERNIA
Madison Noom*1, Theo Sher1, Joseph Sujka2,1
1Morsani College of Medicine, University of South Florida, Tampa, FL; 2Tampa General Hospital, Tampa, FL
A 60-year-old female with a prior transverse rectus abdominis flap for breast reconstruction presented for robotic repair of a recurrent incisional hernia. We began by taking down dense adhesions in the midline and right lower quadrant. Along the midline, we found a 3 x 3 cm hernia containing bowel where there was a previous mesh placement. We took down this hernia and closed the dead space of the eventration, fully reapproximating the area. We secured a 15 cm Symbatex mesh to the abdominal wall between the closure of the eventration and peritoneal flap. There were no complications, and the patient had no recurrence and was doing well on outpatient follow-up.
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