. RESUMOO tratamento cirúrgico nas hérnias umbilicais gigantes complicadas (obstrução, evisceração e/ou contaminação) consiste muitas vezes em tratar a complicação em uma primeira cirurgia e posteriormente corrigir o grande defeito na parede abdominal utilizandose uma tela de reforço. Relata-se o caso de uma paciente com hérnia umbilical gigante eviscerada no qual se realizou a cirurgia em um tempo com reforço da parede com tela, discute-se os aspectos do caso e a literatura atual.. Palavras-Chave: hérnia umbilical, herniorrafia. ABSTRACTSurgical treatment of complicated giant umbilical hernias (obstruction, infection) was to treat complication first and during a second surgery reinforced the abdominal wall with a non-absorbable prosthesis. In this case the patient has an eviscerated giant umbilical hernia, the operation performed was dissection of the hernia sac wall with resection of omentum. The abdominal wall was reinforced with a non-absorbable prosthesis. Others authors agreed with the use of non-absorbable prosthesis in cases with potentially contaminated surgery provided careful surgery technique is used so to minimize infection risks, combined with a suitable designed antibiotic regime.
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