A Successful Repair of Incarcerated and Eviscerated Hernia With Polypropylene Mesh

Abstract

The aim of this study is to present a case of eviscerated and incarcerated recurrent incisional hernia successfully repaired with polypropylene mesh. A 65-year-old woman with recurrent incarcerated incisional hernia with spontaneous evisceration was admitted to our emergency clinic. She had undergone herniorrhaphy, segmental ileal resection, end-to-end anastomosis, primary abdominal wall repair, and polypropylene mesh repair. No intraoperative or postoperative complication occurred. Even though incisional hernia is frequent, spontaneous rupture and evisceration in these cases are very unusual. The most seen cause of this situation is tense ascites due to chronic liver disease. Eviscerated and incarcerated incisional hernias are contaminated cases, and use of prostethic mesh for hernia repair is still controversial. Washing the bowel with saline before replacing it into the abdomen and application of antibiotics during surgery and for 2-4 days in postoperative period can prevent infectious complications after mesh repair.




J Med Cases. 2013;4(11):729-731
doi: https://doi.org/10.4021/jmc1348w