Close Menu

A Case Report of a Repair of a Ruptured Incisional Hernia Using Polypropylene Mesh and Component Separation Technique

Journal Authors: 
DOI: 
10.7727/wimj.2015.410

ABSTRACT

Incisional hernias are a common complication of laparotomies and present a challenging surgical problem. The potentially fatal complication of spontaneous rupture and evisceration is rare and requires urgent surgical repair. Intraoperative decision making requires careful assessment of all patient factors and experience with advanced hernia repair techniques. Oftentimes, these hernias are giant sized and there is associated atrophy and ulceration of the overlying skin with a stretched and weakened anterior abdominal wall. Spontaneous rupture and evisceration has been most commonly described in patients with end-stage liver disease and ascites which makes surgery hazardous in this subset of patients. Surgical technique must minimize the occurrence of complications as well as hernia recurrences in these challenging hernias and the surgeon must decide on the use of mesh, the type of mesh, its position and also the use of additional techniques such as component separation. We present a case of the spontaneous rupture of a giant incisional hernia with evisceration of small intestine that was successfully repaired using polypropylene mesh and component separation.

Accepted: 
11 Sep, 2015
PDF Attachment: 
e-Published: 10 Mar, 2016

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page