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Grigoriy V. Klimovich,Randal Zhou,Kurt E. Roberts 대한외상중환자외과학회 2020 Journal of Acute Care Surgery Vol.10 No.3
A 51-year-old female underwent recurrent open incisional hernia repair with retrorectus meshplacement. Early in the post-operative course, she developed a hernia reoccurrence secondary tobreakdown of the staple line, at the level of the posterior rectus sheath, resulting in a small bowelobstruction. This hernia could not be felt upon physical examination but was detected by imaging. The patient was promptly taken to the operating room for laparoscopic reduction of the incarceratedloop of small intestine, along with laparoscopic repair of the posterior rectus sheath defect. It iscritical for surgeons to recognize the possibility of a staple line breakdown at the level of posteriorrectus sheath early on in the diagnosis which would prompt urgent surgical intervention in thesetting of a bowel obstruction.