A Case of Giant Abdominal Incisional Hernia with Small Bowel Obstruction

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  • イレウスを併発した巨大腹壁瘢痕ヘルニアに対する1手術例

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A 75-year-old woman had undergone laparotomy for cholelithiasis about 30 years previously, and had been suffering from an incisional hernia from about 20 years previously, which had developed into an enormous hernia with obesity (BMI 37.3kg/m2). The patient who had also been suffering from vomiting from several years previously, was admitted to hospital because of small bowel obstruction. Computed tomography showed a giant incisional hernia with a 12×12cm orifice, in which a markedly distended stomach and small bowel were encased. After successfully treating the bowel obstruction with conservative management, a operation was performed using a Composix Kugel Patch (XL size). The postoperative course went well without any complications such as abdominal compartment syndrome or cardiopulmonary disorder.

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