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2017, Number 2

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Gaceta Médica Espirituana 2017; 19 (2)

Eviscerated incisional hernia: A case report

Barrabí DA, Márquez HJ, Reyes BES, Armas PB

Language: Spanish
References: 16
Page:
PDF size: 130.46 Kb.


ABSTRACT

Background: The incisional hernia is a frequent complication of the abdominal surgery; it is presented between the 2 to 20 % of the patients with laparotomy. Among their complications they are described: Incarcerated hernia, blockage or obstruction and strangulation. Objective: To describe the unusual case of a patient carrier with an incisional hernia with evisceration. Case report: A 78 years old, aged woman, type II diabetic, with vitiligo, controlled hypertension, carrier of incisional hernia too, voluminous, recurrent, which suffered spontaneous rupture of wall and skin, with evisceration. She was treated by hernioplasty with a polypropylene preperitoneal prosthesis and partial aponeurotic closure. At three years post-operative follow-up the results were excellent. Conclusions: It is an unusual complication that is compared with similar reports that justify and support the assumed behavior. The spontaneous rupture of the cover and skin of a recurrent incisional hernia and its evisceration through the defect are uncommon, preperitoneal hernioplasty prosthesis with favorable postoperative results was performed.


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