Ventral hernia repair due to large defect of abdominal wall caused by right iliac crest flap and myocutaneous flap harvesting
Abstract
Background: postoperative ventral hernia is one of the most common complications of surgery pertaining to the abdominal wall. Whether a hernia will occur depends on the size and location of the incision of the abdominal wall.
Case study: We report a case of a 65 years old male patient who developed a large ventral hernia after right iliac bone and myocutaneous flap harvesting for reconstruction purposes after maxillectomy. The intraoperative find was a 40 cm wide hernia sack with a hernia neck 15 cm in diameter. The right iliac wing was the inferior border of the hernia neck. The patient underwent anterior ventral hernia repair with implantation of polypropylene mesh into the preperitoneal space.
Conclusion: Placement of preperotoneal mesh in case of postoperative hernia reduces possibility of recurrence or infection.
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