PMC4150516_01
Axial CT view: intercostal hernia between 10th rib and 11th rib at left midaxillary line (white arrow).
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The hernia content was comprised of omentum, and no evidence of a diaphragmatic defect was seen on CT (Figures 1 and 2).
Coronal CT view: intercostal hernia between 10th rib and 11th rib at left midaxillary line (white arrow).
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The hernia content was comprised of omentum, and no evidence of a diaphragmatic defect was seen on CT (Figures 1 and 2).
Exposure of the hernia sac.
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The hernia sac was identified and dissected clean of the surrounding subcutaneous tissue (Figures 3 and 4).
Dissection of the hernia sac of the surrounding subcutaneous tissue.
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The hernia sac was identified and dissected clean of the surrounding subcutaneous tissue (Figures 3 and 4).
Exposure of defect.
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The sac was subsequently excised, exposing a clear defect between the tenth rib and eleventh rib (Figure 5).
VENTRALEX Hernia Patch.
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A self-expanding polypropylene and ePTFE hernia patch (VENTRALEX Hernia Patch) (Figure 6) was then used to secure the defect, and the fascia of the intercostal and external oblique was approximated on top of the mesh using interrupted Vicryl stiches (Figure 7).
Approximation of muscle fascia on top of the patch.
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A self-expanding polypropylene and ePTFE hernia patch (VENTRALEX Hernia Patch) (Figure 6) was then used to secure the defect, and the fascia of the intercostal and external oblique was approximated on top of the mesh using interrupted Vicryl stiches (Figure 7).