Ventral incisional hernia case report: A therapeutic challenge

Abstract

Incisional hernias are a very common condition and they still are considered to be a surgical challenge due to their recurrence rate. Smoking, obesity and age are risk factors for developing these abdominal wall defects. Despite recent advances in hernia repairs, the recurrence rates of hernias did not significantly diminished, even after the introduction of meshes. The aim of this article is to report a case of a ventral incisional hernia in a 37-year-old man and its successful treatment with a procedure known as the Alcino-Lázaro technique repair. This procedure has been shown to be very effective in incisional hernias, especially in obese patients. Furthermore, it is as cheap as it is reliable, since it can be performed without technological aid or expensive materials (mesh); thus, patients in low-income countries can greatly benefit from this procedure.

Abdominal wall necrotizing fasciitis as a complication of strangulated hernia - an ominous consequence of a preventable scenario

“…Their occurrence is frequently attributed to inadequate wound healing or the failure of tissue to heal properly. Following abdominal surgery, incisional hernias represent one of the most prevalent complications, with a reported incidence as high as 10–20% following midline laparotomy [ 3 ]. NF is characterised by rapid microbial invasion of subcutaneous tissues or fascia, either due to external trauma or direct spread from a perforated viscus.…”

Case Report: Abdominal Wall Reconstruction in a High-Risk Patient With Incisional Hernia and Complications From Oncological Treatment

“…Although the decision to omit mesh and drains in our patient’s abdominal wall reconstruction proved successful in terms of wound healing and absence of complications, it is important to acknowledge that each case should be evaluated individually. Factors such as the size and complexity of the hernia, the patient’s overall health status, and the surgeon’s expertise should be considered when taking into account mesh-free techniques and the omission of drains [ 3 , 9 ].…”