PMC7093902_01
Intraoperative view of the hernia repair two years previously: the fascia lata graft patch was placed as an interpositional graft covering the rectus abdominis muscle defect.
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For placement of the graft, the fascia lata was sutured superficial to the edge of the defect with minimal overlap (interpositional graft) (Figure 1).
Magnetic resonance imaging reveals the implanted fascia lata graft (arrow).
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Preoperative magnetic resonance imaging (MRI) revealed the implanted fascia lata graft above the sheath of the rectus abdominis as an interpositional graft (Figure 2).
Intraoperative view: the implanted fascia below the subcutaneous tissue (arrows).
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A ventral midline incision was made and the skin and subcutaneous tissues were dissected down to the level of the fascia, which was white and hard, similar to an implanted fascia lata graft (Figure 3).
Reverse side view of the implanted fascia lata graft: both the cut edge of the implanted fascia graft (arrowheads) and the edges of the rectus abdominis muscle (dotted line) lie along the incision line.
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We incised this fascia lata graft in the same way as for a normal laparotomy (Figure 4).