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Massive postincisional hernia of the abdominal wall

This is the case of a 69 years old diabetic female patient with history of subtotal colectomy for advanced colon cancer a year ago.

She had a surgical complication of the abdominal wall called postincisional hernia and came to surgical consult because of this giant ventral hernia. This is one of the largest hernias I’ve ever seen.

A laparoscopic repair of the defect was made with Prolene mesh (2 sheets of 12″ x 12″) sutured to the fascia and now she is doing very well.

Images courtesy of Mariana Herrera Guerrero, M.D.

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7 Responses to “Massive postincisional hernia of the abdominal wall”

  1. whow. during my clinical internship. i saw a bigger one. measured 45 in diameter.

  2. My name is Darlene, I’ve had the following
    surgeries Appendectomy, hiatus hernia, hemhoidectomy, hysterectomy, vaginal prolapse
    rectocele, cystocele, entrocele, hemhoidectomy 2, colon resection, hemhoidectomy 3,large ventral incisional hernia, bladder suspension,
    rectocele, all before 1995. 2005 thru 2007 I’ve had a vaginal prolapse, rectocele, colon resection, bowel obstruction,
    large ventral incisional hernia, 2 large ovarian cyst, colostomy and now I’m having pain on my stoma,
    severe bloating in my abdomen. Same incision was opened 1994, 1995, 05/2006, 08/2006 and Feb 12, 2007 Is there
    a possibility that I may have another ventral hernia? and what can I do about this?

    Sincerely,

    Darlene

  3. this is really big one..

  4. Darlene,

    You have to ask your surgeon if you have another postincisional hernia, if he thinks that this is a possibility maybe he/she will order an ultrasound for confirmation.

  5. ok, yall are insane. mine is significantly larger than that and was the RESULT of surgery gone amuck and any human being who would ever attempt such a thing has completely lost their mind….

    i will continue to look 9 months pregnant, live in constant pain and have my spine completely destroyed due to the fact that i know longer have a core and yes, will probably DIE of a mega toxic colon since i no longer have muscles to void myself properly befor i would ever allow any of these lunatic nazi mad scientists to attempt to repair what the already screwed up once.

    healthcare reform?? ya think????

  6. i am mortified. truly mortified. want to see pictures of my 6 abdominal surgeries? and each recurring hernia?

    darlene i have two words. law suit.

  7. Kistin,
    I have been in constant pain for four years and have four large hernia areas. Colon resection. I laughed out loud in such a way that my wife ran to see what I was doing. Your anwser brought my first laughter in four years. I wouldn’t call them nazis, but perhaps it should warn others to have alot of fore thought to any surgery! Thank you.


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