Massive Ventral Henias – Difficult but NOT Impossible

 

Clinical History

  • We present two cases with massive ventral hernias with damaged overlying skin.

  • Both patients gave  a h/o having undergone a laparotomy for intestinal perforation many years earlier with severe wound infection resulting in wound dehiscence in the post operative period.
On examination they had massive ventral hernias with  large thin scars on the abdomen under which were multiple bowel loops.



Case1

Case 2




Case 1

Case 2

Both patient underwent a successful Ventral mesh Henioplasty with an ONLAY mesh and excision of the scar.

Case1


Case 2


Post operatively they had superficial skin necrosis which was managed with  debridement  and secondary suturing.

 








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