An early recurrent case of ruptured large incisional hernia

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  • 術後早期に再発した巨大腹壁瘢痕ヘルニア破裂の1例

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Ruptured incisional hernia is a rare condition. Performing surgery may be challenging due to its high contamination. Our case involved a 41-year-old man who had two previous surgeries for chronic pancreatitis. Six months before being admitted, he presented to our hospital for an expansion of his incisional hernia. Ulcers and atrophy in the skin were observed; thus, we recommended surgery, but he refused. Further, he complained of a rupture of the incisional hernia. He underwent an emergency surgery using the bilateral anterior rectus abdominis sheath turnover flap method for hernia repair. On postoperative day four, there was recurrence of the incisional hernia; therefore he underwent another emergency surgery. The hernia was closed by using an absorbable mesh. Surgery should be recommended for patients with ulcers or atrophy in the skin. We do not perform tissue repair methods for ruptured large incisional hernias.

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