Gravid uterus as a content of anterior abdominal wall incisional hernia

2010 ◽  
Vol 30 (5) ◽  
pp. 518-519 ◽  
Author(s):  
S. Agrawal ◽  
M. Madan ◽  
R. Kumari ◽  
H. Gaikwad ◽  
C. Raghunandan ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Gravid Uterus

Incarcerated Gravid Uterus in an Incisional Hernia

2012 ◽  
Vol 2 (4) ◽  
pp. 5-13
Author(s):  
Jyoti Nath Modi ◽  
Malini Bharadwaj ◽  
Ruchi Kalra ◽  
Ashok N. Mhaske
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Antenatal Clinic ◽  
Gravid Uterus ◽  
The Internet ◽  
Lower Abdomen ◽  
Hernia Sac ◽  
Lessons Learnt

Incisional hernia of the anterior abdominal wall is common but gravid uterus herniating into the sac is rare. Even rarer is the gravid uterus getting incarcerated in the hernia sac. The authors present an interesting obstetric challenge wherein a 30 year old pregnant lady reported to their antenatal clinic with an unusual bulge in the lower abdomen at the 7th month of pregnancy. This was found to be an incarcerated gravid uterus. It was further complicated by the presence of a trophic ulcer on the skin overlying the uterus. Very few such cases have been reported in literature and each one is a study in itself. The authors would like to share their experience in successfully managing the condition with the assistance of information from the internet and colleagues from across the globe. They will also identify the lessons learnt from this experience.

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.

scholarly journals The Management of Incisional Hernia

2006 ◽  
Vol 88 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Andrew Kingsnorth
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Failure Rate ◽  
Anterior Abdominal Wall ◽  
General Surgeon ◽  
Failure Rates ◽  
Large Problem ◽  
Hernia Surgery ◽  
The Past ◽  
Recent Advances

Many thousand laparotomy incisions are created each year and the failure rate for closure of these abdominal wounds is between 10–15%, creating a large problem of incisional hernia. In the past many of these hernias have been neglected and treated with abdominal trusses or inadequately managed with high failure rates. The introduction of mesh has not had a significant impact because surgeons are not aware of modern effective techniques which may be used to reconstruct defects of the abdominal wall. This review will cover recent advances in incisional hernia surgery which affect the general surgeon, and also briefly review advanced techniques employed by specialist surgeons in anterior abdominal wall surgery.

scholarly journals The results of surgical treatment of patients with large and complex incisional hernias of the anterior abdominal wall in a multidisciplinary hospital

2018 ◽  
Vol 17 (3) ◽  
pp. 35-44 ◽  
Author(s):  
E. N. Degovtsov ◽  
P. V. Kolyadko ◽  
V. P. Kolyadko ◽  
A. V. Satinov
Keyword(s):  
Surgical Treatment ◽  
Incisional Hernia ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Incisional Hernia Repair ◽  
The Body ◽  
Wound Complications ◽  
Postoperative Wound ◽  
Mesh Reinforcement

Objectives. To evaluate the immediate results of surgical treatment of patients with large incisional hernia of the anterior abdominal wall with the use of the mesh implants.Materials and methods. The data were retrospectively collected and analyzed. The study included patients with a large and / or complex incisional hernia. There were 108 patients who underwent incisional hernia repair with mesh reinforcement in the period from 2012 to 2016. In all cases the repairs were made with mesh implants. The average age of patients was (56.4 ± 10.4) years. The body mass index (BMI) was on average (32.6 ± 6.24) kg/m2. The medial localization of the hernia was 102 (94.44%). The width of the hernia defect averaged (12.2 ± 3.7) cm. Implants were placement in onlay positions – 19 (17.6%), sublay – 49 (45.37%), IPOM (Intraperitoneal onlay mesh) – 30 (27.77%) patients, the component separation technique (CST) with mesh reinforcement was used in 10 (9.25%) patients. Active aspiration drainage was performed in 72 (66.66%) patients.Results. The average time for draining the postoperative wound was (5 ± 2.2) days. The number of wound complications was 23 (21.3%), the number of seromas of the postoperative wound prevailed was 16 (14.8%) patients, of which 2 (1.85%) were chronic abdominal wall seromas, hematoma occurred in  2 patients (1.85%), the number of prolonged serous exudation was 7 (6.5%), necrosis of the wound edges occurred in 4 (3.7%) patients. There was no mortality. Reliably more often wound complications occurred in patients with large hernia defects (p = 0.006), and also with an increase in the duration of surgical intervention (p = 0.01). The hospital-stay in patients with complications was significantly greater (p < 0.001), the need for analgesics also increased (p < 0.001).Conclusion. Prevention of wound complications after large and complex incisional hernia repair with mesh reinforcement is an important direction in improving the results of surgical treatment in this category of patients.

Local administration of TGF-β1 to reinforce the anterior abdominal wall in a rat model of incisional hernia

Hernia ◽  
2005 ◽  
Vol 9 (3) ◽  
pp. 252-258 ◽  
Author(s):  
M. Korenkov ◽  
N. Yuecel ◽  
J. Koebke ◽  
J. Schierholz ◽  
Ch. Morsczeck ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Rat Model ◽  
Anterior Abdominal Wall ◽  
Local Administration ◽  
Tgf Β1

scholarly journals early experience with the use of prosthetic mesh as fascia replacement in structural abdominal wall reconstruction

2007 ◽  
Vol 40 (02) ◽  
pp. 164-169
Author(s):  
I A Adigun ◽  
J K Olabanji ◽  
A O Oladele ◽  
O O Lawal ◽  
G H Alabi
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Bowel Resection ◽  
Anterior Abdominal Wall ◽  
Enterocutaneous Fistula ◽  
Abdominal Wall Reconstruction ◽  
Early Experience ◽  
Prosthetic Mesh ◽  
Abdominal Wall Defects ◽  
Black Patients

ABSTRACT Background: Abdominal wall defects occur from various causes and require reconstruction. autogenous tissue is often insufficient and incisional hernia often results. prosthetic mesh is a proven substitute to autogenous tissue but reports on its use is uncommon in our practice environment.Aim: the aim is to report our early experience with the use of prosthetic mesh in black patients in our practice environment.Materials and methods: the summaries of three patients with anterior abdominal wall defects which were managed with the use of a prosthetic mesh are presented as well as their intraoperative and postoperative photographs. one patient had intraperitoneal placement of the mesh and developed no complications.Results: one patient who had bowel resection developed a postoperative enterocutaneous fistula away from the site of the mesh and was managed conservatively. other patients had no complications.Conclusions: the use of prosthetic mesh is recommended.

scholarly journals Abdominal Pseudocyst

2019 ◽  
Vol 87 (2) ◽  
pp. 30-32
Author(s):  
Hina Hina Jhawer ◽  
Jordan Ho ◽  
John Morrison
Keyword(s):  
Epithelial Cells ◽  
Incisional Hernia ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Late Complication ◽  
Surgical Excision ◽  
Current Treatment ◽  
Imaging Findings ◽  
Abdominal Pseudocyst ◽  
Giant Pseudocyst

We report clinical details and imaging findings of a case of a giant pseudocyst occurring in the anterior abdominal wall of a 61-year-old female. This was a late complication following the repair of an incisional hernia with mesh. Surgical excision revealed a well-encapsulated pseudocyst with histopathology confirming absence of epithelial cells. We further discuss current treatment methods for incisional hernias, as well as prevalence, etiology, and management of pseudocysts complicating hernioplasty.

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