Hybrid Approach for Post Traumatic Anterior Abdominal Wall (Lumbar Region) Hernia: A Review of the Case

With incidence rate of 0.9~1.5% among blunt trauma, post traumatic abdominal wall hernia is rare entity. Causes includes sudden increase of intra-abdominal pressure and extensive shearing force applied to the abdominal wall. Since complexity of ventral hernias being operated on has increased, the treatment strategy has also evolved to obtain optimal results. In the intraperitoneal onlay mesh repair (IPOM) method of abdominal wall hernia repair, mesh is placed over the abdominal wall defect and secured from inside the peritoneal cavity. In the IPOM plus method, in addition to IPOM, the hernia orifice is also closed by direct suturing, a procedure that is anticipated to reduce the recurrence rate. Laparoscopic surgery in patient with large gap defect having difficulty in closure during ipom with undue tension hybrid technique was used incorporating open laporotomy approach along with laparoscopic reconstruction. Hybrid ventral hernia repair is a promising technique in management of complex ventral hernias. Hybrid ventral hernia repair represents a natural evolution in advancement of hernia repair. use of hybrid repair in selected patients combines the safety of open surgery has several advantages of the laparoscopic approach with favourable surgical outcomes in terms of recurrence, seroma and incidence of chronic pain.