Suprapubic Incisional Hernia Repair by Mishra's Knot and Mobilization of the Urinary Bladder.
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This video demonstrates Suprapubic Incisional Hernia Repair by Mishra's Knot and Mobilization of the Urinary Bladder Performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The suprapubic hernia is the term to describe ventral hernias located less than 4 cm above the pubic arch in the midline. Hernias with an upper margin above the arcuate line encounter technical difficulties, and the differences in repair methods forced us to define them as large suprapubic hernias. Laparoscopic repair of large suprapubic hernias can be considered the first option in treatment. The low recurrence rates reported in the literature and the lack of recurrence, as observed in our study, support this view.
2 COMMENTS
Dr. Yatish Ahlawat
#1
Nov 14th, 2022 1:48 pm
Suprapubic hernias are difficult to manage because of the complexity of dissection and their anatomic proximity to bony, vascular and nerve structures. The lower end of the mesh should be fixed to the Cooper’s ligament and the pubic bone. Laparoscopic repair of these uncommon hernias is safe, effective and provides all the benefits of minimally invasive surgery.
Dr. Imh Tickley
#2
Nov 19th, 2022 11:16 am
Suprapubic incisional hernias (SIH) are a rare wall defect, whose surgical management is challenging because of limited literature. The proximity of the hernia to bone, vascular, nerve, and urinary structures, and the absence of posterior rectus sheath in this location imply adequate technique of surgical repair.
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