V-049 E-Tep Rives-Stoppa and Open Reverse Tranversus Abdominis Release (Tar): A Hybrid Approach for Large Lateral-Inferior Incisional Hernias

Abstract

Aim To present hybrid approach with open/endoscopic extraperitoneal dissection for large lateral-inferior incisional hernias Material and Methods 64 years-old man who underwent left laparoscopic nephrectomy (2019) due to hypernephroma with specimen extraction by a left oblique iliac incision. He presents L3–4 W3 incisional hernia (14×10 cm) Technique description Results After 48 hours ICU admission patient was discharged to hospital ward. Drainages were removed at 2nd-4thpostoperative day and hospital stay was 5 days. Conclusion The hybrid approach to large lateral incisional hernias allowed us to use a large sublay mesh with an increased overlap beyond the hernia defect, trying to reduce hernia recurrence rate.