Incisional Hernia Repair with Abdominoplasty

Nassem, Ahmed R; Wagdi, Hesham H; Mohamed, Mostafa A; Naga, Mohamed Aboul

doi:10.21608/ejhm.2018.9847

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…In this case, the large IH was from a previous CS with a midline vertical incision in her second pregnancy. A previous study reported the rate of IH to be 0.0–5.6% after CS [ 8 ]. Two meta-analyses showed that the risk of IH is higher in a midline than in a transverse incision after abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Modified peritoneal flap hernioplasty and abdominoplasty in large incisional hernia after cesarean section with midline vertical incision: a case report

Elfiah,

Saputra

2023

Journal of Surgical Case Reports

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An incisional hernia (IH) is a common complication after a cesarean section (CS). Large IH mesh repair is problematic when initial fascial closure cannot be accomplished. We report the case of a large IH for 20 months after a CS with a midline vertical incision that was treated with a combination of modified peritoneal flap hernioplasty and abdominoplasty. There was a large fascia defect (15 × 21 cm) and adhesions of the omentum and the ileum to the anterior abdominal wall. CS with midline vertical incision, history of surgical site infections and obesity are risk factors that increase IH. In conclusion, this combination successfully repairs a large IH, reduces obesity, prevents recurrence and complications after hernia repair, improves the abdominal shape and patient quality of life. Abdominoplasty is also performed to create new umbilical and vascular preservation.

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Section: Discussionmentioning

confidence: 99%