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Case report

https://doi.org/10.5281/zenodo.5501501

Ventral hernia repair due to large defect of abdominal wall caused by right iliac crest flap and myocutaneous flap harvesting

Mario Rasic ; Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
Kristijan Cupurdija ; Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
Dario Kozul ; University of Zagreb School of Medicine, Zagreb, Croatia
Valentino Lisek ; University of Zagreb School of Medicine, Zagreb, Croatia
Jakov Mamic ; University of Zagreb School of Medicine, Zagreb, Croatia
Domagoj Vergles ; Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia


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Abstract

Background: postoperative ventral hernia is one of the most common complications of surgery pertaining to the abdominal wall. Whether a hernia will occur depends on the size and location of the incision of the abdominal wall.

Case study: We report a case of a 65 years old male patient who developed a large ventral hernia after right iliac bone and myocutaneous flap harvesting for reconstruction purposes after maxillectomy. The intraoperative find was a 40 cm wide hernia sack with a hernia neck 15 cm in diameter. The right iliac wing was the inferior border of the hernia neck. The patient underwent anterior ventral hernia repair with implantation of polypropylene mesh into the preperitoneal space.

Conclusion: Placement of preperotoneal mesh in case of postoperative hernia reduces possibility of recurrence or infection.

Keywords

ventral hernia; anterior hernia repair; preperitoneal mesh; bone flap

Hrčak ID:

262924

URI

https://hrcak.srce.hr/262924

Publication date:

28.9.2021.

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