The patient pictured below presented with a recurrent ventral incisional hernia following several previous surgeries. The patient was previously obese and subsequently lost a great amount of weight following gastric bypass surgery. Following the gastric bypass surgery, she then underwent body contouring surgery which included an extended abdominoplasty. As a part of the body contouring procedure, the patient’s original surgeon also performed primary repair of a ventral incisional hernia along with rectus muscle plication. A few months following this primary repair operation, the patient developed a recurrent bulge in the midline of her upper abdomen. She then underwent repair of this recurrent ventral incisional hernia with a combined approach.
Operation Performed: Laparascopic intraperitoneal placement of non-absorbable mesh. In order to facilitate primary repair of the patient’s own fascia, the Components Separation Technique using an anterior approach with release of the rectus abdominus muscle from the external oblique muscle was employed.