Open AccessPeritoneal flap mesh hernioplasty: A reliable option for difficulty in closure of complex ventral hernia: A case report
Author(s) -
Bhawani Khanal,
Sunit Agrawal,
Shatrughan Prasad Sah,
Roshan Gurung,
Rakesh Kumar Gupta
Publication year - 2020
Publication title -
journal of gandaki medical college
Language(s) - English
Resource type - Journals
eISSN - 2070-4259
pISSN - 2070-4240
DOI - 10.3126/jgmcn.v13i2.30699
Subject(s) - medicine , ventral hernia , surgery , hernia , abdominal wall , closure (psychology) , surgical mesh , incisional hernia , market economy , economics
Peritoneal flap mesh hernioplasty is a technique to deal with complex ventral hernias in which primary closure of the defect is not attainable. We are here presenting a case report of a 50-year-old gentleman with huge complex ventral hernia with loss of domain. The patient also had overlying ulcerated and blackish colored skin. Botulinum toxin was infiltrated into the muscles of anterior abdominal wall and was followed by peritoneal flap mesh hernioplasty after one month. The final outcome was complete closure of the midline with a healthy skin with no evidence of abdominal compartment syndrome. There was no evidence of early recurrence on follow up.
Owing to the favorable outcome in this case, suitability of peritoneal flap mesh hernioplasty technique in treatment of complex ventral hernia could be explored further where closure of the primary defect is difficult.