A case of incarcerated umbilical hernia in an adult treated by laparoscopic surgery

Abstract

A 42-year-old, obese woman was admitted to our hospital 3 h after the sudden development of abdominal pain. Her umbilical region was swollen and she was diagnosed with incarceration of an umbilical hernia by computed tomography. Although we tried, we were unable to reduce the hernia with a manipulative procedure. We decided to perform an emergency laparoscopy. Once general anesthesia was induced, we achieved hernia reduction. From a laparoscopic view, the portion of strangulated small intestine was neither necrotic nor perforated. The size of the hernial orifice was ∼2 × 2 cm, and thus, we selected a 12 × 12 cm composite mesh to cover the hernia defect by at least 5 cm in all directions. The surgical procedure was uneventful and the total operation time was 112 min. The patient recovered uneventfully and was discharged on postoperative day 9. She remains free of recurrence 20 months after surgery.

Pneumoperitoneum: an alarming sign of a life-threatening diagnosis

“…Despite incarcerated umbilical hernias being uncommon, his preexisting medical comorbidities placed him at a higher risk of developing an associated complication 15 . Undergoing emergent surgical intervention is the standard of care in this setting 16 . Reduction of umbilical hernia with regained adequate circulation, hernial sac dissection, and primary suture umbilical hernia repair were performed with no intraoperative or immediate postoperative complications.…”

Umbilical hernia in a patient with ascites. Clinical case

“…Tsushimi T et al (6), present the case of a 42-yearold obese woman who was admitted to developing sudden abdominal pain and was diagnosed with a non-reducible incarcerated umbilical hernia. Emergency laparoscopy is performed to reduce the hernia without intestinal damage.…”