Vol. 7 (05) pp. 240-244 DOI: 10.21474/IJAR01/9028

GIANT INCISIONAL HERNIA WITH LOSS OF DOMAIN, TREATED SUCCESSFULLY WITH PRIMARY HERNIA REPAIR, SLEEVE GASTRECTOMY, OMENTECTOMY AND SUBTOTAL COLECTOMY.

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  • Department of Surgery, Central Michigan University College of Medicine, Saginaw, USA.
  • Department of Surgery, The University of Oklahoma College of Medicine, Tulsa, Oklahoma, USA.
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Abstract

Giant incisional hernia is a challenging surgical condition, especially in morbidly obese patients, and requires individualized surgical planning and technique. A 54-year-old female with body mass index of 54 kg/m2 with insulin-dependent diabetes mellitus presented with an extremely large incisional ventral hernia at the site of right subcostal incision from a remote open cholecystectomy. The hernia contained distended stomach, omentum, most of the small bowel, transverse and right colon, and right kidney. After medical optimization, patient underwent sleeve gastrectomy, subtotal colectomy, and primary repair of the hernia. After 10 months, there was no hernia recurrence, the patient?s BMI decreased to 37.8 kg/m2, and she no longer required insulin or oral hypoglycemic medications. In conclusion, concomitant sleeve gastrectomy can be considered with repair of giant incisional hernia in patients with morbid obesity, and colectomy can be considered in cases with loss of domain and long patulous colon.

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How to Cite This Article

Faiz Tuma, Zhamak Khorgami, Theresa Elder and John Blebea. (2019); GIANT INCISIONAL HERNIA WITH LOSS OF DOMAIN, TREATED SUCCESSFULLY WITH PRIMARY HERNIA REPAIR, SLEEVE GASTRECTOMY, OMENTECTOMY AND SUBTOTAL COLECTOMY., Int. J. of Adv. Res., 7 (05), 240-244, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/9028

Corresponding Author

Theresa Elder
Central Michigan University College of Medicine
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.