Primary Repair of a Huge Incisional Hernia by Using an External Oblique Myofascial Releasing Technique without Mesh: A Case Report.
10.3393/jksc.2008.24.5.386
- Author:
Ki Jae PARK
1
;
Jin Hee WOO
;
Hak Youn LEE
;
Se Yong LEE
;
Jong Sok SHIN
;
Young Hoon ROH
;
Sung Heun KIM
;
Hong Jo CHOI
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. colonch@donga.ac.kr
- Publication Type:Case Report
- Keywords:
Incisional hernia;
Myofascial releasing technique;
Hartmann's colostomy
- MeSH:
Colostomy;
Hernia;
Humans;
Sutures
- From:Journal of the Korean Society of Coloproctology
2008;24(5):386-389
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Incisional hernias are one of the most common complications after abdominal surgery and are an important cause of postoperative morbidity. Various methods are available for repairing incisional hernias, such as primary suture repair, an open mesh technique, and a laparoscopic mesh technique. The surgical management of a large incisional hernia by using a prosthetic mesh in a contaminated operative field (i.e., opened bowel from previous stoma or bowel resection) remains a difficult challenge because the non-absorbable mesh used is accompanied by a potential risk of infection and its related morbidity. We present a case of a large abdominal-wall defect, which was corrected by utilizing an external oblique myofascial releasing technique without the use of mesh, in a patient with an incisional hernia coexistent with Hartmann's colostomy.