TY - JOUR AU - Magyar, Christian T. J. AU - Nebiker, Christian A. PY - 2020 TI - Hernia after retroperitoneoscopic adrenalectomy, case report JF - Gland Surgery; Vol 9, No 2 (April 28, 2020): Gland Surgery Y2 - 2020 KW - N2 - We report the first case of a previously undocumented complication after posterior retroperitoneal adrenalectomy (PRA). Extensive diagnostic procedures for persisting abdominal pain led to diagnosis of an incisional hernia (IH) approximately 2.5 years after surgery for a pheochromocytoma of the right adrenal gland. Thus, IHs need to be recognized as a potential complication after PRA, particularly if the symptoms are non-specific. The differential diagnosis of an IH after PRA includes a type of spontaneous lumbar hernia due to a pre-existing weakness of the abdominal wall however the treatment for both type of hernias is similar by mesh repair. A possible risk factor for IH after PRA might be obesity, due to different factors including difficulties in closing the fascia in depth under subcutaneous tissue. UR - https://gs.amegroups.org/article/view/35387