Massive postincisional hernia of the abdominal wall
Published by Jon Mikel Iñarritu March 31st, 2007 in Medical Images Tags: abdominal wall, giant hernia, ventral hernia.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.
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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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whow. during my clinical internship. i saw a bigger one. measured 45 in diameter.
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
this is really big one..
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.