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A novel surgical solution to impossible fascial closure due to contaminated abdominal cavities: A case report
A novel surgical solution to impossible fascial closure due to contaminated abdominal cavities: A case report
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2021
- Publisher :
- Elsevier, 2021.
-
Abstract
- Introduction Chronic, large, and old incisional hernias often lead to surgical complications and major hindrances during emergent laparotomies. The most challenging stages of the laparotomy in such cases occur during opening and fascial closure. Case presentation This article explains the novel surgical technique employed for the complex abdominal closure upon concluding an emergent laparotomy on a 68-year-old female patient. This innovative technique is appropriate for patients with contaminated abdominal cavities and scant fascia who require abdominal operations in cases where biological mesh is not available or is not a viable option. Conclusion This surgical technique can help surgeons restrict abdominal contents and organs (particularly the bowel loops) and prevent migration out of the abdominal cavity during the early post-operative stages, hence, reducing post-surgical complications. The discussed surgical technique ensures that the abdominal fascia defect is limited using skin flaps. This defect later develops into a small hernia sac within a few weeks. Patients then need to have a secondary delayed elective operation on this significantly smaller sized hernia for repair using synthetic mesh.<br />Highlights • In repairing large hernias, if there is no contamination, the best method is to repair with mesh. • In the presence of contamination and small hernia, initial repair seems reasonable. • If there is a large hernia, the use of biological mesh is a good option if possible. • In our country, due to the existence of sanctions in such circumstances, using the proposed method can be a good alternative.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Fascial closure
Case Report
Abdominal cavity
Abdominal fascia
Case presentation
Fascia
medicine.disease
Surgery
medicine.anatomical_structure
Laparotomy
Novel surgical technique
Female patient
Medicine
Hernia sac
Hernia
Incisional hernia repair
business
Abdominal contamination
Subjects
Details
- Language :
- English
- ISSN :
- 22102612
- Volume :
- 87
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....a50b000a29a4fd1f2a545fcc8a8c7e67