scholarly journals Recurrent Incisional Hernia Associated with Interferon Treatment for Virus C Hepatitis: Case Report

2016 ◽  
Vol 62 (2) ◽  
pp. 260-262
Author(s):  
Mircea Gherghinescu ◽  
Călin Molnar ◽  
Daniel Popa ◽  
Cristian Russu ◽  
Alexandra Lazăr ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatitis C ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Postoperative Analgesia ◽  
Subcutaneous Tissue ◽  
Incisional Hernia Repair ◽  
Components Separation ◽  
Viral Hepatitis C ◽  
Virus C

AbstractBackground: Hepatitis C prevalence in Romania is 3.5%. Nowadays, the treatment of this condition comprise of interferon. One of the interferon’s side effects is the reduction of collagen synthesis, substance that is necessary in the process of abdominal wall healing.Case report: We report the case of a 56 years old female patient, admitted in our Clinic for a giant, recurrent incisional hernia. The patient’s history was eventful: a hysterectomy for uterine fibroma in 2009, incisional hernia repair in 2010, the treatment with Interferon in 2011 and 2012 for viral hepatitis C. A well represented subcutaneous tissue is observed intraoperator, a wall defect of 15 cm in diameter with a 5 mm thick muscle aponeurosis lay. We performed abdominal wall plasty by components separation technique, reinforced with a polypropylene mesh disposed on lay. Postoperative analgesia was provided by inserting a wound catheter through which Ropivacaine 0,5% was continuously injected for 72 hours. The postoperative evolution was uneventful, the patient being discharged 7 days after the surgical intervention.Conclusions: The treatment with Interferon of hepatitis C can favor the recurrence of an incisional hernia. The Oscar Ramirez procedure seemed to be the best choice for surgical treatment of this giant incisional hernia. Postoperative analgesia can be accomplished by a wound catheter through which Ropivacaine 5% is continuously infiltrated.

scholarly journals Giant Encapsulated Anterior Abdominal Wall Haematoma Complicating Mesh Incisional Hernia Repair: Challenges of Management in a High-Risk Term Pregnancy in a Low Resource Setting

2021 ◽  
Vol 6 (01) ◽  
pp. 53-56
Author(s):  
Anwar Sadat Seidu ◽  
David P. Suoseg ◽  
Bernard N. Maanikuu ◽  
Musah Yakubu ◽  
Imoro Osman ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Incisional Hernia Repair ◽  
Successful Outcome ◽  
Morbidly Obese ◽  
Term Pregnancy

Giant encapsulated haematoma of the anterior abdominal wall is an unusual complication of mesh incisional hernia repair. The commonest symptoms are swelling and pain. It can be diagnosed with ultrasonography and Computed Tomography (CT) scan. The objective of this case report is to illustrate the challenges of management of a complex pathology in a high-risk term pregnancy. In this case report, a 28-year-old morbidly obese multiparous woman with two previous ventral wall hernia repairs and two previous caesarian sections, presented at term to the prenatal clinic with protruding anterior abdominal mass. Initial preoperative diagnosis aided by ultrasonography was a herniated term gestation through an incisional hernia. Intraoperatively, the surgical team was faced with the challenge of managing a longstanding giant organized haematoma of the anterior abdominal wall and the anticipation and prevention of obstetric complications associated with two previous caesarian sections and a big baby. This report illustrates that good clinical assessment combined with sonographic assessment of complex cases by an experienced radiologist is crucial to avoid missed diagnosis. A multidisciplinary team management was essential for a successful outcome.

scholarly journals Laparoscopically assisted treatment of entero-atmospheric fistula following abdominal wall repair of complex incisional hernia: Case report

2017 ◽  
Vol 39 ◽  
pp. 136-139
Author(s):  
Francesca Ceci ◽  
Linda D’Amore ◽  
Maria Romana Grimaldi ◽  
Elena Annesi ◽  
Domenico Tuscano ◽  
...  
Keyword(s):  
Case Report ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Repair

scholarly journals SILS Incisional Hernia Repair: Is It Feasible in Giant Hernias? A Report of Three Cases

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Umut Barbaros ◽  
Tugrul Demirel ◽  
Aziz Sumer ◽  
Ugur Deveci ◽  
Mustafa Tukenmez ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Single Incision ◽  
Anterior Abdominal Wall ◽  
Oral Intake ◽  
Operation Time ◽  
Incisional Hernia Repair ◽  
Composite Mesh ◽  
First Case ◽  
The Mean

Aim. Three incisional ventral abdominal wall hernias were repaired by placing a 20 × 30 cm composite mesh via single incision of 2 cm. Methods. All three cases had previous operations and presented with giant incisional defects clinically. The defects were repaired laparoscopically via single incision with the placement of a composite mesh of 20 × 30 cm. Nonabsorbable sutures were needed to hang and fix the mesh only in the first case. Double-crown technique was used in all of the cases to secure the mesh to the anterior abdominal wall. Results. The mean operation time was 120 minutes. The patients were mobilized and led for oral intake at the first postoperative day. No morbidity occurred. Conclusion. Abdominal incisional hernias can be repaired via single incision with a mesh application in experienced centers.

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