ArticleJournal of surgical case reports2026
Robotic repair of an incarcerated hepatic ventral incisional hernia in a rural critical access hospital: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 73-year-old woman with a known epigastric ventral incisional hernia presented to a rural critical access hospital with progressive pain, irreducibility, and abdominal distension. Laboratory evaluation revealed markedly elevated transaminases, and computed tomography demonstrated herniation of the left hepatic lobe through a small abdominal wall defect. Biochemical evidence of hepatic ischemia in this setting is documented in only a small number of prior reports, and operative intervention was pursued urgently given concern for progressive vascular compromise. A robot-assisted transabdominal preperitoneal repair was performed - to our knowledge the first application of robotic surgery to this rare clinical entity - revealing an incarcerated ischemic hepatic segment with a small capsular laceration. The liver was successfully reduced, and resection was avoided. The patient recovered uneventfully. This case highlights a rare presentation of hepatic incarceration and establishes the feasibility of robotic management in a rural setting.
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