NAVIGATING COMPLEXITY: BILATERAL ABDOMINAL WALL PALSY FOLLOWING ETEP RETRORECTUS VENTRAL HERNIA REPAIR

Abstract

Recurrent incisional hernias pose a significant surgical challenge, especially when associated with anatomical and functional deficiencies. This report details the case of a 36-year-old female who underwent three surgeries over two years for recurrent incisional hernias, culminating in the diagnosis of bilateral rectus abdominis palsy. Diagnostic modalities including computed tomography (CT) imaging with defect reconstruction, 3D printing, and electromyography (EMG) were utilized to determine the underlying etiology and guide surgical management. This case underscores the importance of innovative diagnostic approaches in managing complex abdominal wall hernias and is the first reported case of abdominal wall palsy following eTEP repair.