OBJECTIVE. We describe CT findings after laparoscopic repair of ventral her
nia with emphasis on formation of postoperative fluid collections that can
mimic recurrent bowel herniation or infected postoperative fluid collection
s.
CONCLUSION. The porous property of the mesh used in laparoscopic repair of
ventral hernia allows reaccumulation of fluid in the existing hernia sac or
spaces in the subcutaneous tissues that can be created by laparoscopic man
ipulation. These fluid collections should be expected and are differentiate
d from infected fluid collections or hernia recurrence by clinical presenta
tion, laboratory data, and lack of ancillary features associated with true
hernia such as presence of hernia sac, herniated mesentery, or bowel obstru
ction.