Giant incisional hernia: Which treatment? case report and review of literature

Abstract

BACKGROUND: Incisional hernias are one of the most common complications developing in 3.8–11.5% after abdominal surgery. The management of giant incisional hernia (GIH) with loss of abdominal domain remains a surgical challenge with a high recurrence rate of 30%, elevated comorbidity and a mortality rate between 0% and 5%. CASE REPORT: A 70-year-old woman presented at our emergency room with a 24 h history of abdominal bloating. She had severe comorbidities and GIH with loss of domain (LOD). Abdominal _TC scan demonstrated a GIH about 10 × 11 cm, associated with colon and ileus with “LOD.” CONCLUSION: Different risk factors are important for developing an incisional hernia as old age, vascular disease, diabetes, obesity, renal failure, hepatic disease, protein deficiency, immunosuppression, and smoking. Surgical treatment should be centralized to discuss every case with a multidisciplinary team (general surgeon, plastic surgeon, and radiologist).