52 years old female presented with Acute Abdomen- investigations revealed Incarcerated Infra umbilical incisional hernia

52 years old female presented with Acute Abdomen- investigations revealed Incarcerated Infra umbilical incisional hernia .
Undergone C- section in 1998 - infra umbilical midline incision.

Admitted previously with other hospital 7-8 times for subacute intestinal obstruction- treated conservatively .

Now lump in infra umbilical region- irreducible after 2 days of conservative treatment at other hospital . Shifted patient to us with USG abdomen -s/ o obstructed incisional hernia .

TARM meshplasty done .
Complete operation - 1.5 x speed - actual operative time 120 min.

Thanks to Dr. Ashwin Masurkar , pioneer of this procedure for giving tips & tricks .