Preventing the mesh puncture after the intraperitoneal onlay mesh repair using transabdominal ultrasonography

Abstract

　Incisional hernia was reported to occur in 11–25% of patients who underwent abdominal surgery. Surgical repair of incisional hernia is performed in patients complaining of pain, daily life restrictions, and strangulation hernia, using two surgical repair methods: simple closure without and with mesh repair. Recently, the mesh repair method has been recommended because of its lower recurrence rate.

　Identifying the location of the inserted mesh has not been established, and no report has specified the exact location of the inserted mesh on the abdominal wall and performed another surgery without damaging the mesh. Here, we report the first case with identified precise location of the inserted intraperitoneal onlay mesh for incisional hernia using transabdominal ultrasonography and who underwent laparoscopic surgery without puncturing the mesh.