Single staged surgical procedure for recurrent incisional hernia with trophic ulceration: a viable surgical option

Vagholkar, Ketan; Iyengar, Madhavan; Vagholkar, Suvarna

doi:10.18203/2349-2902.isj20160075

Cited by 4 publications

(6 citation statements)

References 6 publications

(7 reference statements)

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“…The evisceration of the bowel must be treated immediately without any delay as it may cascade into bowel strangulation, gangrene, and perforation [ 8 ]. In most cases, the defect acts as a constricting neck, which causes a vicious circle of arterial impedance in the herniated contents.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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Spontaneous rupture of an incisional hernia leading to the evisceration of the intra-abdominal organs is one of the malefic complications seen in these patients. In addition to its rarity, it gets accompanied by possible lethality in the form of incarceration, sequential strangulation, necrosis, and eventual gangrene. If not treated aptly, the clinical scenario could lead to a life-threatening condition with a delay in timely intervention. With less than 20 documented cases, herein, we report a 48-year-old female with a previous history of a midline laparotomy who presented to us with an acute spontaneous evisceration of the small bowel. The patient was immediately decided on surgical management with exploratory laparotomy, adhesiolysis, and primary repair of the abdominal wall defect. Postoperatively, the patient improved without any complications.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Das¹,

Shaikh²,

Gaur³

et al. 2022

Cureus

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“…Meticulous haemostasis before closur e. However if doubt still persist in cases which involve extensive dissection, it is advisable to keep a negative su ction drain in order to prevent formation of a seroma which can serve as an ideal nidus for infection. 12,13 …”

Section: Preventive Strategiesmentioning

confidence: 99%

Ventral Incisional Hernia Mesh Infection: Surgical Management

Kumar¹,

Kumari²

2017

IOSR JDMS

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“…Meticulous technique of dissection with periodic irrigation of operative site with normal saline during the course of surgery. 12,13 Meticulous haemostasis before closure. However if doubt still persist in cases which involve extensive dissection, it is advisable to keep a negative suction drain in order to prevent formation of a seroma which can serve as an ideal nidus for infection.…”

Section: Preventive Strategiesmentioning

confidence: 99%

“…However if doubt still persist in cases which involve extensive dissection, it is advisable to keep a negative suction drain in order to prevent formation of a seroma which can serve as an ideal nidus for infection. 12,13…”

Section: Preventive Strategiesmentioning

confidence: 99%

Hernia mesh infection: a surgical disaster

et al. 2016

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Mesh infection is one of most disastrous complication following hernia surgery. The consequences are more complex especially following a laparoscopic hernia repair operation. Understanding the pathophysiology of mesh infections is pivotal in adopting preventive strategies. Once infected, exact determination of the extent of the septic complication by CECT is essential. A two staged surgical intervention yields excellent results. A case of infected laparoscopic mesh repair treated by a two staged operation is presented along with a brief review of literature to highlight the safety and efficacy of this approach.

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Single staged surgical procedure for recurrent incisional hernia with trophic ulceration: a viable surgical option

Cited by 4 publications

References 6 publications

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Spontaneous Evisceration of Small Bowel in Incisional Hernia

Ventral Incisional Hernia Mesh Infection: Surgical Management

Hernia mesh infection: a surgical disaster

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