Pre-operative conditions seen in the universe of patients undergoing abdominal wall reconstruction for large subcostal hernias.

Pre-operative conditions seen in the universe of patients undergoing abdominal wall reconstruction for large subcostal hernias.</p

Fig 1 -

(Upper left): Right subcostal hernia measuring 26 x 23 cm in a patient with liver cirrhosis Child-Pugh A who had a right hepatectomy and a right colectomy one year before due to invasive hepatocellular carcinoma. (Upper right): A retromuscular plane behind the right transversus abdominis, the right rectus and the left rectus muscles has been developed, and closure between right posterior rectus sheath and right transversalis fascia has been achieved. (Lower left): A 30 x 30 cm large pore polypropylene mesh has been placed in the retromuscular plane. (Lower right): With the operating table flexed, horizontal closure of the right subcostal defect has been performed to provide restoration of the myofascial continuity of the abdominal wall.</p